| NPI | 1306829213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURO S NAVA Administrator 505-843-9836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: NM 03006400007) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2020-08-22 |