| NPI | 1912078536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR COLLADO Radiologist 313-962-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (Licence: MI 24834) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-04-23 |