| NPI | 1841522141 |
|---|---|
| Doing Business As | GREAT LAKES PORTABLE DIAGNOSTICS |
| Entity Type | Organization |
| Authorized Contact | RAM GUNABALAN Owner 586-279-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: MI 429780) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-11 |