| NPI | 1356349666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B. JACKSON Owner 602-241-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: AZ 7-M-7564) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2020-08-22 |