| NPI | 1982029955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MICHAEL GUSTAFSON CEO 951-746-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: CA RHT00087366) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-05-08 |