| NPI | 1922585116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANET BERON President 754-777-2986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-28 |