NPI | 1720226731 |
---|---|
Doing Business As | A1 IMAGING OF ORANGE PARK |
Entity Type | Organization |
Authorized Contact | TOM COLICCHIO Director Of Managed Care 909-887-8788 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: FL HCC7772) |
Enumeration Date | 2009-01-29 |
Last Update Date | 2011-06-07 |