| NPI | 1447259338 |
|---|---|
| Former Legal Business Name | NORTHWEST RADIOLOGIST PC |
| Entity Type | Organization |
| Authorized Contact | LINDA A WILGUS Executive Director 317-328-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: IN 50000088) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-02-10 |