| NPI | 1497156152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANNTEJ SRA Owner 602-705-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 273509992) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |