| NPI | 1811740301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY GE Managing Member 636-333-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2025-04-11 |