| NPI | 1841653367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADY JONES President 208-423-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology Diagnostic Ultrasound (Licence: MD ARDMS154319) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |