| NPI | 1104963933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLENE A BLANTON President 772-429-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |