| NPI | 1992860324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN UNDERWOOD Owner 208-489-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2023-03-01 |