| NPI | 1801892831 |
|---|---|
| Doing Business As | CEDAR LAKE MRI |
| Entity Type | Organization |
| Authorized Contact | RANDALL PENBERG Administrator 228-818-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 470000051) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2020-08-22 |