| NPI | 1528609997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT DAVID BRUDWICK Owner 469-848-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 261QR0208X Clinic/Center Radiology, Mobile |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2022-08-23 |