| NPI | 1528214913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KELLY Owner 417-626-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (Licence: OK 18723) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2016-09-01 |