| NPI | 1750327771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI K THOMAS Manager 248-620-4227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 775305) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |