NPI 1053492611

M.R.Diagnostic and Imaging Center,inc

Organisation Clinical Medical Laboratory Madison, WI

Practice location

Address: 6441 Enterprise Ln STE 211, Madison, WI 53719-1156
Phone: (213) 595-9545

Authorised official

Name: Miguel Ruelas
Title: President
Phone: (213) 595-9545

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Wisconsin →

Registry record

NPI: 1053492611
Entity type: Organization
NPI issued: 18 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.