| NPI | 1770167736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LECKINGTON CEO 208-221-7974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |