| NPI | 1376527390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTI L KIST President Owner 479-967-6492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2010-07-29 |