| NPI | 1861432361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET S GILBERTSON Practice Manager 701-499-4807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 2471C3402X Radiologic Technologist Radiography |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-04-02 |