| NPI | 1356309306 |
|---|---|
| Former Legal Business Name | HANNIBAL IMAGING ASSOCIATES, INC. |
| Entity Type | Organization |
| Authorized Contact | BRANDON SELLE Administrator 573-221-7870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-09-20 |