| NPI | 1063952166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOREL CODREANU Owner 248-703-4838 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: MI 164498) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: MI 00080829) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |