| NPI | 1306174487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITA WEBSTER Vice President 317-431-7345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: IN 335V00000X) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |