| NPI | 1992141717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY NICHOLE SCHUMAL Co Owner 843-251-5983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: SC 447384) |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: SC 40231) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2014-07-31 |