| NPI | 1700424389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAIMANOT HAILE Mbr 202-450-5981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2019-12-14 |
| Last Update Date | 2022-07-20 |