| NPI | 1982317079 |
|---|---|
| Doing Business As | ENVISION IMAGING OLD TOWN |
| Entity Type | Organization |
| Authorized Contact | ANDREW BENSON VP Operations 719-955-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2024-05-13 |