| NPI | 1912524380 |
|---|---|
| Doing Business As | LAKESIDE MRI |
| Entity Type | Organization |
| Authorized Contact | DANIEL EDWARD HEINER Partner 928-505-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2025-01-29 |