| NPI | 1396745071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MARTIN Owner 870-926-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: AR 19816) |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: MO 260009834) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2025-04-29 |