| NPI | 1295967453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAZLOLLAH GOLESTANEH Owner/President 856-507-9512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: NJ 25MA03109900) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: NJ 25MA03109900) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |