NPI | 1366472029 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH TARR President 810-667-5744 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
261QR0200X Clinic/Center, Radiology | |
2085R0204X Radiology, Vascular & Interventional Radiology | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2013-02-06 |