| NPI | 1811604630 |
|---|---|
| Doing Business As | THE BOOB BUS |
| Entity Type | Organization |
| Authorized Contact | RENA JEAN VANZO Co Founder/CEO 217-313-0746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0207X Clinic/Center, Radiology, Mobile Mammography |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2024-02-05 |