| NPI | 1669430690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH A CAMPBELL President 217-378-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2009-03-25 |