| NPI | 1982724209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE GLASER Medical Director 866-840-2977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 035634) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |