| NPI | 1598490294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDOLPH C WILLIS Proprietor 190-886-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |