| NPI | 1851803407 |
|---|---|
| Other Name | RIS & LRH IMAGING, LLC LAKE MIRIAM |
| Entity Type | Organization |
| Authorized Contact | MARTHA LIMA Treasurer 863-688-2334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |