| NPI | 1922784503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DANIEL RIEBER CFO 719-364-5480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-12-06 |