| NPI | 1538167192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOHNSON President 904-545-3591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: FL HCC3853) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2008-04-15 |