| NPI | 1568459055 |
|---|---|
| Doing Business As | SOUTHSIDE MEDICAL IMAGING |
| Entity Type | Organization |
| Authorized Contact | CATHY BLAESE Chief Operating Officer 904-241-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: FL HCCR1418) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2012-10-02 |