| NPI | 1891242087 |
|---|---|
| Former Legal Business Name | SOUTHEAST MEDICAL IMAGING, SERVICES |
| Entity Type | Organization |
| Authorized Contact | ALEXIS CRUZ Owner 561-865-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL HCC4632) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |