| NPI | 1871341685 |
|---|---|
| Doing Business As | PERSONAL |
| Entity Type | Organization |
| Authorized Contact | LAMESA C AMENU Owner 860-381-9902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-09-23 |