| NPI | 1245295021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL LEON PALMER Owner 928-777-9064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (Licence: AZ CRT-5873) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2008-06-16 |