| NPI | 1528022480 |
|---|---|
| Former Legal Business Name | ST AGNES NUCLEAR IMAGING |
| Entity Type | Organization |
| Authorized Contact | HOMAYOON MOGHBELI President Of Board 410-747-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0904X (Licence: MD MD0512101) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2009-07-28 |