| NPI | 1568087187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FEIGENBUTZ Technical Manager 602-368-0458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2023-06-22 |