| NPI | 1992751341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUNU DARAKHVELIDZE Principal 818-430-6273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0700X |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2025-09-11 |