| NPI | 1912051228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRITZ PHANORD Business Office Manager 954-958-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: FL JR3583900) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |