| NPI | 1922389832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHAZALA KHAN Billing Manager 734-693-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-07 |