NPI | 1992429443 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSIE WEBSTER Owner 906-202-9378 |
Organization Subpart ? | No |
Primary Taxonomy | 293D00000X Physiological Laboratory |
Additional Taxonomies | 2471V0105X Radiologic Technologist, Vascular Sonography |
261QR0208X Clinic/Center, Radiology, Mobile | |
335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
Enumeration Date | 2022-09-28 |
Last Update Date | 2022-09-28 |