| NPI | 1003229022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLAS GIACAMAN SALGADO Vice President 954-278-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |