| NPI | 1083330344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARBEN CASEM BLANCO CEO/Partner 718-844-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 261QR0207X Clinic/Center, Radiology, Mobile Mammography | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-10-08 |