| NPI | 1902941412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LYNN OLEAR Owner 330-433-0465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: OH 06-E-08945-01) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |