| NPI | 1053858761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE L HUBBARD Owner 912-295-5611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-04-29 |