| NPI | 1962161927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RO-ANN FAITH SURON CORRALES Representative 818-200-8546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2021-12-16 |