| NPI | 1588759849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA GOOLSBY Owner 336-918-6328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: NC 600495328) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-01-15 |