| NPI | 1417414426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AUDIE MCGRAW Managing Member 318-381-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2020-01-02 |