| NPI | 1275535247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA STEPHENS Credentialing Specialist 509-961-3849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2021-09-10 |