| NPI | 1487964359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWYANE POPE Owner 843-812-5988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |