| NPI | 1558346148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARDNER BARTROM President 765-228-4660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: IN 20590) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2024-01-08 |