| NPI | 1568775187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE M MONTROSS President 954-862-1432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-07-24 |
| Last Update Date | 2012-11-28 |