| NPI | 1861038168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO JACOBS Manager 248-946-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |