| NPI | 1609800291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GROSSMAN Chief Operating Officer 262-780-0357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |