| NPI | 1518332170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY LELAND KROTTINGER Owner 918-770-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2018-11-05 |