| NPI | 1003308040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BURNS Managing Member 904-868-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-27 |