| NPI | 1518999614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN C SAGE Member Manager 877-444-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: IL 036068882) |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-01-11 |