| NPI | 1881683118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZZAM S KANAAN Executive Director 269-342-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2020-08-22 |