| NPI | 1487696589 |
|---|---|
| Doing Business As | PREMIER RADIOLOGY |
| Entity Type | Organization |
| Authorized Contact | JOHN L. BRACK Practice Manager 269-388-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2009-01-27 |