| NPI | 1336100445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY G TJADER Owner 823-250-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2008-01-14 |