| NPI | 1720272941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALLEN President 800-999-9709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (Licence: WV 335V00000X) |
| Additional Taxonomies | 2085U0001X Radiology Diagnostic Ultrasound |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2014-06-23 |