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 |