| NPI | 1770283301 |
|---|---|
| Doing Business As | GATEWAY IMAGING: WATERLOO |
| Entity Type | Organization |
| Authorized Contact | JONATHAN BURKET Corporate Compliance 818-666-0602 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-02 |