| NPI | 1023275179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER CARL FASELT President 702-839-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: AZ 13743438) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2021-10-25 |