| NPI | 1912522889 |
|---|---|
| Doing Business As | LASTING IMPRESSION MEDICAL |
| Entity Type | Organization |
| Authorized Contact | ROEL GALOPE Owner 973-672-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |