| NPI | 1699721357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE S GALLUPS Director, Professional Billing 517-364-6251 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2471B0102X Radiologic Technologist Bone Densitometry |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2013-06-21 |