| Organization Name: | SUGAR MILL DIAGNOSTIC IMAGING LLC |
| NPI Number: | 1235313057 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL KEITH HERRON (OWNER) |
| Mailing Address: | 8303 S Suncoast Blvd Homosassa |
| State: | FL US |
| Postal Code: | 344465028 |
| Phone Number: | 3526289900 |
| Fax Number: | 3526289700 |
| NPI Enumeration Date: | 12/28/2007 |
| NPI Last Update Date: | 07/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | ME84779 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |