| NPI | 1760602908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE F. NICOLETTE Owner 315-733-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2471V0106X Radiologic Technologist, Vascular-Interventional Technology |
| 2471S1302X Radiologic Technologist, Sonography | |
| 2471C1101X Radiologic Technologist, Cardiovascular-Interventional Technology | |
| 246XS1301X Spec/Tech, Cardiovascular, Sonography | |
| 2471C3402X Radiologic Technologist, Radiography | |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| 247100000X Radiologic Technologist | |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2009-10-16 |