| NPI | 1528714714 |
|---|---|
| Former Legal Business Name | IMPRESSION IMAGING LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL FAGIEN Medical Director 954-580-2780 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-25 |