| NPI | 1942245022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI COOPER Director Of Credentialing 754-206-6198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2023-07-24 |