| NPI | 1114083847 | 
|---|---|
| Doing Business As | FOUNTAIN IMAGING | 
| Entity Type | Organization | 
| Authorized Contact | KRISTI LYNN HEBERT Administrator 954-983-4266 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: FL HCC7166) | 
| Enumeration Date | 2006-12-28 | 
| Last Update Date | 2020-08-22 |