| NPI | 1427056522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI J. KOSMA Administrator 417-863-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (Licence: MO 26-9808) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |