NPI | 1376716530 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL FAGIEN CEO 954-557-8408 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL ME59548) |
Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: FL ME59548) |
2085B0100X Radiology, Body Imaging (Licence: FL ME59548) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME59548) | |
261Q00000X Clinic/Center (Licence: FL ME59548) | |
Enumeration Date | 2008-04-09 |
Last Update Date | 2008-04-09 |