| NPI | 1750536454 |
|---|---|
| Doing Business As | GREAT LAKES PORTABLE DIAGNOSTICS |
| Entity Type | Organization |
| Authorized Contact | PAUL PETRE President 586-573-6400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-21 |