| NPI | 1578069100 |
|---|---|
| Other Name | ADVANCED DIAGNOSTIC GROUP-PORT ST. LUCIE |
| Entity Type | Organization |
| Authorized Contact | RICHARD SARNER Co Owner 561-684-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |