| NPI | 1356813414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MUNIZ Member 631-949-7824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2021-02-24 |