| NPI | 1710423785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE KIZZIA Owner 918-616-6396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-17 |