| NPI | 1417243791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY SUE HEAVILON Director/Owner 317-780-8935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-24 |