| NPI | 1982875217 |
|---|---|
| Other Name | MEDICAL DIAGNOSTIC CENTER OF JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | KEESHA COMPTON Billing Supervisor 904-731-1556 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-11-10 |