| NPI | 1912282781 |
|---|---|
| Doing Business As | IDT |
| Entity Type | Organization |
| Authorized Contact | FRED E SUFFICOOL Owner/President 619-971-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2014-10-03 |