| NPI | 1780132753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT L CARLSON President 907-394-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2018-08-14 |