| NPI | 1972553758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE HEIDEN CFO 701-297-9073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 261QR0207X Clinic/Center, Radiology, Mobile Mammography |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2009-07-30 |