| NPI | 1982067047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SELLA Director Finance 616-643-9168 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 247100000X Radiologic Technologist |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |