| NPI | 1407377310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM GLEAVE Owner 801-497-6689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |