| NPI | 1780110411 |
|---|---|
| Doing Business As | LOGIC DIAGNOSTICS OF JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | MICHELLE MOTHERSIL Management 904-440-0998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-10-26 |