| NPI | 1871598540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL FORD CEO 508-880-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2014-11-18 |