| NPI | 1578206462 |
|---|---|
| Doing Business As | INTERMOUNTAIN ST. GEORGE IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | NANNETTE MIGNON BERENSEN Vice President And COO 801-507-8002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2023-08-16 |