| NPI | 1861872657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA J SHANLEY Managing Member 907-321-1953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AK 5533) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |