| NPI | 1407438039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD ISAACSON COO 801-442-5737 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2023-01-04 |