| NPI | 1831364405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVIAN O DONALDSON Radiology Technologist/Manager 1917-721-9418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: NY 051655) |
| Additional Taxonomies | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (Licence: NY 051655) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-25 |