| NPI | 1730225848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO A MIRO Manager 574-258-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085N0700X | |
| 2085P0229X Radiology, Pediatric Radiology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2025-09-11 |