| NPI | 1467810986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA PHILLIPS Owner/Operator 580-916-2179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: OK 900078) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-11-15 |