| NPI | 1497293773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DYER President 877-318-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0207X Clinic/Center, Radiology, Mobile Mammography |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2025-08-11 |