| NPI | 1629663380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID DELAPA Owner 740-894-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-10-11 |