| NPI | 1275569782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA KASSA Sr VP 904-300-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: NH 01601) |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2022-10-31 |