| NPI | 1235925595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANFORD MARK Managing Member 352-250-1679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |