Organization Name: | DIGITAL RADIOLOGY, INC |
NPI Number: | 1396172789 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS NEAL HORNSBY (PRESIDENT) |
Mailing Address: | 1353 Bay Ter North Bay Village |
State: | FL US |
Postal Code: | 331414002 |
Phone Number: | 3057599293 |
Fax Number: | 3057595544 |
NPI Enumeration Date: | 10/01/2013 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | ME83541 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |