| NPI | 1801842968 |
|---|---|
| Doing Business As | JOHNSON PORTABLE XRAY SERVICE |
| Entity Type | Organization |
| Authorized Contact | DAVID P JOHNSON Owner Operator 815-544-7120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: IL 500498218) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-07-21 |