| NPI | 1386881308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KELLEY Owner 417-626-9729 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (Licence: OK 21673) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2016-03-23 |