| NPI | 1659425544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA FASELT Owner 702-839-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: LA 088168) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2022-06-17 |