| NPI | 1417975483 |
|---|---|
| Doing Business As | ALEGENT HEALTH LAKESIDE IDTF |
| Doing Business As | CHI HEALTH LAKESIDE IMAGING |
| Entity Type | Organization |
| Authorized Contact | TIM BRICKER CEO 541-610-8147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-12-09 |