| NPI | 1508281205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI TIEDEMANN Billing Office COO Rdinator 515-961-0453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2022-07-01 |