| NPI | 1619081940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE L BROOKS Director 314-324-3728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2021-08-18 |