| NPI | 1508875360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JAY EVERSON Owner 208-237-0977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2012-06-18 |