| NPI | 1124822648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL PUENTES President 928-285-7857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |