| NPI | 1548621147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEECEE PAT President 551-579-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |