| NPI | 1437434321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUMAN LORENZO THOMPSON President 702-789-8096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: NV 1008178853-001) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: NV 1008178853-001) |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: NV 1008178853-001) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2016-11-03 |