Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Magnetic Resonance Imaging (MRI) |
261QM1200X |
| NPI Number | 1205080082 |
| LBN Legal business name | EBO MRI, LLC |
| Authorized official | SHARON GRASCH - (BUSINESS MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/06/2008 |
| Last updated | 06/21/2018 - About 8 years ago |
| Identifiers | n/a |
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