| NPI | 1104991124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTI L KIST Owner 479-967-6492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-10-18 |