| NPI | 1801251475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GLINIECKI Director 855-200-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: KY 38090) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |