| NPI | 1982885190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE DAVID WILLIAMS Owner 426-629-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: TN 0507552) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |