| NPI | 1336404177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER C FASELT President 702-839-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: WA RHL125986) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2022-02-14 |