| NPI | 1598314387 |
|---|---|
| Doing Business As | REDEEMER NORTHEAST IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | RUSSELL R WAGNER Treasurer 215-856-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-10-11 |