| NPI | 1972949634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DILIP B PATEL Manager 219-964-8445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: IL 121955) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |