| NPI | 1578387114 |
|---|---|
| Other Name | CRA - LEISURE WORLD |
| Entity Type | Organization |
| Authorized Contact | ALBERT VICTOR PORAMBO President 301-774-4764 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 207U00000X Nuclear Medicine |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |