| NPI | 1912375148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATHA GANESHAN President/CEO 678-230-9196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 293D00000X Physiological Laboratory (Licence: GA 14020782) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2024-08-07 |