| NPI | 1609718360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO KHOMYAK CEO 704-390-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| Enumeration Date | 2026-04-09 |
| Last Update Date | 2026-04-09 |