| NPI | 1609354117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ANDRES Owner 602-714-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0207X Clinic/Center Radiology, Mobile Mammography (Licence: AZ 000819-2018) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |