| NPI | 1790178028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANTON S KREMSKY Owner/Registered Agent 651-797-3866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MN 58379) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |