NPI | 1700355013 |
---|---|
Entity Type | Organization |
Authorized Contact | REYMOND GAMZELETOVA President 818-402-2831 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
Additional Taxonomies | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
Enumeration Date | 2018-11-15 |
Last Update Date | 2018-11-17 |