| NPI | 1891125217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J AVILA President 719-246-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2021-04-06 |