| NPI | 1619109162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDSAY ELIZABETH TYLER Owner, President, Managing Member 321-777-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2013-08-06 |