| NPI | 1962622514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA KASSA Sr Vice President 904-300-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: AZ 15-078) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2023-07-24 |