| NPI | 1700019981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DAMIAN SILVESTRI Registered Agent 985-960-6249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA 10919R) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2017-01-13 |