| NPI | 1912572728 |
|---|---|
| Doing Business As | CENTRELAKE IMAGING & ONCOLOGY |
| Entity Type | Organization |
| Authorized Contact | TANIA CEJA Site Manager 909-242-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-24 |