| NPI | 1700597481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD TYAS Administrator 302-448-8698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2024-04-05 |