| NPI | 1790314151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERSON CRUDA EMIANO Sonographer, Owner 408-888-1069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-07-15 |