| NPI | 1972007334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN B STARK Owner 917-399-3596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |