| NPI | 1922189083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISHA J WILKINS Manager 806-319-7981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 247100000X Radiologic Technologist |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-07-21 |