| NPI | 1023540648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA FOSTER Owner 850-420-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2020-09-28 |