| NPI | 1417983990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JOHNSON Director 877-996-9975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| 2085R0202X Radiology Diagnostic Radiology | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2011-01-27 |