| NPI | 1801043922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BOSTARD Owner 877-270-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist Sonography |
| Additional Taxonomies | 246XS1301X Specialist/Technologist Cardiovascular Sonography |
| 2471V0105X Radiologic Technologist Vascular Sonography | |
| 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2024-08-15 |