| NPI | 1811403637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGAN MOTON Owner 318-687-6861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |