| NPI | 1750382198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANNA CRAWFORD Owner 772-569-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: FL JR28288000) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2010-10-01 |