| NPI | 1821268855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSS K REYNOLDS Owner 509-884-0602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: WA RT00003044) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2013-11-26 |