| NPI | 1932803145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENNYSON MALIRO Owner/Provider/Authorized Rep 301-503-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-06-02 |