| NPI | 1316463227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY D SAMS Member 501-214-1788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2021-06-08 |