| NPI | 1043320724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY MOORE Vice President 309-689-0243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: IL 335V00000X) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-04-23 |