| NPI | 1023492832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI D BEAVERS Credentialing Manager 318-325-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |