| NPI | 1760158497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEDOR ZAKHAROV Owner 201-606-3693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| 246XS1301X Spec/Tech, Cardiovascular, Sonography | |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2021-11-17 |