| NPI | 1790312320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FELICELDA Administrator 847-802-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |