| NPI | 1780109116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE Y PERRY Owner/Operator 606-219-1074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (Licence: KY 720431) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-07-21 |