| NPI | 1881141364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLO SUAZO Owner 631-912-7476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2021-03-02 |