| NPI | 1184689127 |
|---|---|
| Doing Business As | LAKE MEDICAL IMAGING |
| Entity Type | Organization |
| Authorized Contact | JOSH L FLOYD Director Of Risk Management 352-365-2583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2021-06-23 |