| NPI | 1952781775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE SACKS Director 855-223-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME 34003) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2015-06-06 |