| NPI | 1861961815 |
|---|---|
| Doing Business As | BAYSIDE RADIOLOGY AND IMAGING |
| Entity Type | Organization |
| Authorized Contact | BRAD BOEKE Member 972-840-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |