| NPI | 1356325278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MATTHEW MONGER Partner Owner 307-772-8226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2007-12-28 |