| NPI | 1245933894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI COOPER Director Of Credentialing 754-206-6198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-03-23 |