| NPI | 1831840180 |
|---|---|
| Doing Business As | GOSHEN IMAGING |
| Entity Type | Organization |
| Authorized Contact | BRIAN DALE ENGELKE CFO 618-635-4242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-08-04 |