| NPI | 1992161566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW GILLESPIE Pres 386-427-3490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: FL jxooo4690) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |