| NPI | 1518727734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD ISAACSON President 151-872-7734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2025-08-27 |