| NPI | 1952305476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D. DELAPA Owner 740-894-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: OH 1289432) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: WV 056667) | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: KY 720255) | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2007-12-17 |