| NPI | 1982165056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI COOPER Director Of Credentialing 754-206-6198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2023-07-24 |