NPI | 1700394392 |
---|---|
Doing Business As | BLUE STAR IMAGING AT THE STAR |
Entity Type | Organization |
Authorized Contact | KATRINA ROELLE Director Of Credentialing 614-689-1691 |
Organization Subpart ? | No |
Primary Taxonomy | 293D00000X Physiological Laboratory |
Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
Enumeration Date | 2018-01-17 |
Last Update Date | 2023-11-06 |