| NPI | 1477696524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD L CARIAGA Manager Owner 954-483-7346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL JR4219400) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |