| NPI | 1538449525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIA M LUKASZEK-SECOUSSE Owner 888-922-2986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C 038565) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |