| NPI | 1972239416 |
|---|---|
| Doing Business As | PROFESSIONAL PORTABLE X-RAY, INC |
| Other Name | WACN LLC |
| Entity Type | Organization |
| Authorized Contact | BRUCE ALLEN JOHNSON Director 303-589-4149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2024-01-02 |