| NPI | 1205692571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LEE Director 347-882-2633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-28 |