| NPI | 1952717852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J DAVISON President 651-216-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: MN 62-9106) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2020-09-16 |