| NPI | 1538958202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN ETHAN ORR Owner 406-214-9716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XS1301X Spec/Tech, Cardiovascular, Sonography |
| Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-01 |