NPI | 1821754847 |
---|---|
Other Name | ASM IMAGING SOURCES LLC |
Entity Type | Organization |
Authorized Contact | ALTOVISE SHANNELL MOORER Echo Tech 217-377-2949 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2021-11-14 |
Last Update Date | 2021-11-14 |