| NPI | 1811460801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIER DAVON MAYES Technical Director 510-859-4178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| 305S00000X Point of Service | |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |