| NPI | 1598412827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW RAZUKI Member 619-788-0532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |