| NPI | 1588838817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE ROBERT COOK Owner 757-580-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: VA 0120 002367) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2011-05-31 |