NPI | 1700821477 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN HANSEN Managing Employee 209-384-4250 |
Organization Subpart ? | No |
Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound |
Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
Enumeration Date | 2006-06-18 |
Last Update Date | 2025-08-07 |