| NPI | 1962523696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUNEER HASAN President 773-544-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: WI XM 111590) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2022-07-21 |