| NPI | 1568426518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT NELSON Administrator 480-324-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-08-22 |