| NPI | 1346831625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEESHA BUCHMANN Manager 608-769-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-02-19 |