| NPI | 1568203487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LAMPHIEAR Member 515-505-3224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Additional Taxonomies | 261QR0206X Clinic/Center Radiology, Mammography |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-05 |