| NPI | 1760989347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WARREN GILLMAN Owner 833-822-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2019-03-20 |