| 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 | 2085B0100X Radiology Body Imaging (Licence: FL ME59548) |
| 2085D0003X Radiology Diagnostic Neuroimaging (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 |