NPI | 1548489792 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA KASSA Sr V Ice President 904-300-2777 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: CA 6640-30) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2023-07-24 |