| NPI | 1093375032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA B UPSHAW President 770-602-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |