| NPI | 1821500356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE RUSLEN Director Of Reimbursement 510-974-8297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |