| NPI | 1831915750 |
|---|---|
| Doing Business As | BLUE LAKE OPEN MRI |
| Entity Type | Organization |
| Authorized Contact | PERRY LAUREN SAVAGE Owner 659-444-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2025-01-08 |