| NPI | 1407967565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE M WATSON Owner 865-216-0618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: TN na) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-08-29 |