| NPI | 1558965202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH J GRAY Consultant 469-995-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2022-05-18 |