| NPI | 1275233108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN ROMAN COO/CFO 773-415-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |