| NPI | 1558528513 |
|---|---|
| Other Name | SOUTH BAY IMAGING LLC |
| Entity Type | Organization |
| Authorized Contact | ELLIS B. NORSOP President 813-899-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 171863) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |