| NPI | 1609422146 |
|---|---|
| Doing Business As | NEW VISTA DIAGNOSTIC OF FOUNTAIN OAKS |
| Entity Type | Organization |
| Authorized Contact | LESSY RODRIGUEZ Administrator 813-724-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2020-01-30 |