| NPI | 1861753915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LYNN POTTER CEO/Sonographer 269-838-5865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: MI 132394) |
| Additional Taxonomies | 2471V0105X Radiologic Technologist, Vascular Sonography |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2013-03-15 |