| NPI | 1750980967 |
|---|---|
| Doing Business As | CENTRELAKE IMAGING & ONCOLOGY |
| Entity Type | Organization |
| Authorized Contact | TANIA CEJA Lead Site Manager 909-242-7300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |