| NPI | 1649673864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETTIE TRESS Owner 732-213-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |