| NPI | 1417016114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON SELLE Administrator 573-221-7870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2022-07-21 |