| NPI | 1568061869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETAI SOOLIMAN CEO 224-337-1199 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2024-10-30 |