| NPI | 1942778659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERY ROUSSARIE CEO 574-251-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2019-02-16 |