| NPI | 1073982716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN CABICO Director 661-992-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2016-07-08 |