| NPI | 1649428301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN WEXLER Member 773-354-2937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: NJ 1230539) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-05 |