| NPI | 1578503165 |
|---|---|
| Doing Business As | PRESTIGE IMAGING AT UNIVERSITY GROVES |
| Entity Type | Organization |
| Authorized Contact | RICHARD JAY LICHTENSTEIN President 941-487-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2009-03-05 |