| NPI | 1073817490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANNTEJ SRA Owner 623-815-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 28033) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |