NPI | 1588896591 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS GRANT WALKER President 239-591-5995 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL 14776ARDMS) |
Enumeration Date | 2009-08-10 |
Last Update Date | 2011-06-02 |