| NPI | 1891402293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR KHASAWINAH Administrator 573-239-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |