| NPI | 1588955009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J. TATE Owner 337-945-4953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: LA 158325) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |