| NPI | 1528153665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J LOTYSCH Medical Director 3108-396-4700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-08-30 |