| NPI | 1962507483 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LAUREEN DAWN STEPHENS Administrator 813-873-8877  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging | 
| Enumeration Date | 2006-09-13 | 
| Last Update Date | 2022-07-21 |