| NPI | 1427057967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY D HICKS Owner 810-732-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 4301048682) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2009-06-05 |