| NPI | 1649548298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD MICHAEL JONES Co Owner 408-373-6176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 305S00000X Point of Service |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2011-12-11 |
| Last Update Date | 2012-01-24 |