| NPI | 1326040841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY D MONROE Owner 601-693-4893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: MS 38-9-009) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2008-04-14 |