| NPI | 1225171630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FAGIEN Owner 508-930-7659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |