| NPI | 1407825342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW A RUYLE Managing Partner 618-632-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-08-05 |