| NPI | 1427574987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN ANDRIKOPOULOS Manager/Partner 307-201-5380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-05-23 |