| NPI | 1215295126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A FOWLER Owner 516-361-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2019-11-06 |