NPI | 1780612390 |
---|---|
Doing Business As | NORTHWEST DIAGNOSTIC CLINIC |
Entity Type | Organization |
Authorized Contact | MICHAEL BRUCE BOGDANOVICH President 512-250-3900 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX H6779) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2013-01-04 |