| NPI | 1114252368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MARK HOLUPKO President Of Corporation 985-893-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: LA 8017) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-10-06 |