| NPI | 1508945635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR COLLADO Radiologist 313-962-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MI 24834) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 24834) |
| 261QR0208X Clinic/Center, Radiology, Mobile (Licence: MI 24834) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2011-04-23 |