| 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) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |