| NPI | 1053302042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDA DE MEDEIROS VP Of Administrative Services 508-923-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: MA 08305) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-12-13 |