| NPI | 1033719919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARTIN Owner 267-258-6889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |