| NPI | 1760711360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA ZIA-AHMADI Sonographer 719-671-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: CO 117271) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2015-01-15 |