| NPI | 1962650424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KELLEY Owner 417-626-9729 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: CA 6638) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2009-03-26 |