| NPI | 1588105423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BRUCE Radiologic Technologist 719-646-8056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2017-03-11 |
| Last Update Date | 2017-03-11 |