| NPI | 1508308271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IEVGEN SUKHAR President 347-361-4788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2016-11-13 |
| Last Update Date | 2016-11-13 |