| NPI | 1366689697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SHIFTEH Director 877-372-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: NY 219733) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 219733) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2021-04-09 |