| NPI | 1346658556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MARX Administrator 909-483-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| 246XS1301X Spec/Tech, Cardiovascular, Sonography | |
| 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist | |
| 247100000X Radiologic Technologist | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |