NPI | 1114245545 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA M. SCROGGINS Owner 561-630-6277 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL N/A) |
Enumeration Date | 2010-05-10 |
Last Update Date | 2010-05-10 |