| NPI | 1750599320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MICHAEL LANE Owner 785-856-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: KS 2202833) |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: KS 2202833) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-08-26 |