Organization Name: | AURORA MEDICAL IMAGING |
NPI Number: | 1215929047 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANIS M THOMAS (OFFICE MANAGER) |
Mailing Address: | 4634 Summerdale Dr Pace |
State: | FL US |
Postal Code: | 325711368 |
Phone Number: | 8509946702 |
Fax Number: | 8509947722 |
NPI Enumeration Date: | 08/18/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471M1202X |
License Number: | ME 48056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Magnetic Resonance Imaging |
Taxonomy Definition: |