| NPI | 1144736968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITALII MOZDIR President 718-430-2023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |