| NPI | 1700148020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PENNER Owner 203-500-3227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography (Licence: RDMS146393) |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography (Licence: RDMS146393) |
| 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: RDMS146393) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |