| NPI | 1023730637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GILBERT MONTOYA Owner 505-280-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |