| NPI | 1588847412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASILI MERABISHVILI President 801-412-2603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 51492) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |