| NPI | 1013960681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADISLAV KOKHAN CEO 818-787-3217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-10-06 |