| NPI | 1720340995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL LEON CEO 678-969-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 261Q00000X |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0200X Clinic/Center, Radiology | |
| 261QR0206X Clinic/Center, Radiology, Mammography | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2016-07-27 |