| NPI | 1649422973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SHIFTEH Director 917-804-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: AZ 40289) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2010-01-12 |