| NPI | 1962791541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WEBBLES President 507-254-9464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: MN MNXO-1218) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |