| NPI | 1063742211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL JAMES OTT Radiologic Technologist/Owner 806-240-0965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |