| NPI | 1548833023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOLAN SORENSEN Owner 972-435-9769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2023-12-20 |