| NPI | 1134721830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL GYVES Owner 760-583-8137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2022-12-06 |