| NPI | 1952608325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLENA DZIUBA CFO 505-573-2495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-03-30 |