| NPI | 1871990424 |
|---|---|
| Doing Business As | ST ROSE IMAGING SERVICES |
| Entity Type | Organization |
| Authorized Contact | JOHN H JETER President 785-623-5523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2017-02-07 |