| NPI | 1053583526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BOUCHER Ultrasound Tech 941-421-2116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MA 53741) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |