| NPI | 1720776800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONICIA AHYDEE SEGURA Manager 480-209-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-05-03 |