| NPI | 1982777348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA JACKSON President 559-782-1973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: CA 054353) |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: CA 054353) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |