| NPI | 1831583228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RADOM Administrator 248-939-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center Magnetic Resonance Imaging (MRI) (Licence: MI 63C073) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2016-04-13 |