Organization
IMGLOBAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GURAM LUKHUTASHVILI (PRESIDENT)
(347) 338-2800
Entity
Organization
Contact information
Practice address
704 DESMOND CT, BROOKLYN, NY 11235-4202
(718) 769-0706
Mailing address
704 DESMOND CT, BROOKLYN, NY 11235-4202
(718) 769-0706
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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