| NPI | 1073757365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAURIN J SHAH Owner 239-333-2742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME82826) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |