| NPI | 1861453896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITALIS CHINEDU NWAGWU President 303-306-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-08-22 |