| NPI | 1760691323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREL MCKILLOP Owner 772-979-5652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: FL HCC8398) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-04-12 |