| NPI | 1467729947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J LEWIS Owner 404-784-8792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |