| NPI | 1568756096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALLEN STILLMAN Owner 209-467-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CA C35905) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C35905) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2016-11-03 |