| NPI | 1881038263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE MICHAEL GREGORY President 763-753-2163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2014-05-27 |