| NPI | 1669642864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI ELLEN ANDERSON Office Manager 612-280-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2022-07-21 |