| NPI | 1043255516 |
|---|---|
| Doing Business As | SAME |
| Entity Type | Organization |
| Authorized Contact | JOHANNA HABETZ SITTIG Owner 337-783-4196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: LA 19813) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |