| NPI | 1750690574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH EDWARD WHALEN Practice Consultant 954-557-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: FL 261QM1200X) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |