| NPI | 1811575723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN TOMITA Owner 517-202-9177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2021-04-07 |