| NPI | 1710964655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLEE LEBLEU Vice President 480-321-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: TX R00151) |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: TX L05329) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2024-07-10 |