| NPI | 1578818704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE SOLES Billing Manager 478-246-1026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |