| NPI | 1205180650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA KASSA Sr Vice President 904-515-0362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2022-10-21 |