| NPI | 1720602592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI WARE Managing Employee 337-654-9228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |