| NPI | 1811100407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J MILLER President 618-395-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging |
| 261QR0200X Clinic/Center, Radiology (Licence: IL 9258091) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2012-09-07 |