| NPI | 1265065924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNIE LANE Director Of Business Operations 813-549-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |