| NPI | 1033399175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A MARONEY Owner/Operator 304-845-7528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: WV 0501) |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: OH R2374519) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2012-03-05 |