| NPI | 1043085251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG CHEBERKO Owner 386-586-6229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile |
| Additional Taxonomies | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |