| NPI | 1902153539 |
|---|---|
| Doing Business As | BLOOMSDALE REHAB |
| Doing Business As | BLOOMSDALE IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | AMANDA WOLK Business Office Director 573-883-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2023-01-13 |