| NPI | 1649594359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM BROUSSARD Co Owner 337-288-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-08-16 |