Organization
MOBILE IMAGING OF ST LUCIE COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANNA CRAWFORD (OWNER)
(772) 569-9729
Entity
Organization
Contact information
Practice address
120 66TH AVE SW, VERO BEACH, FL 32968-9706
(772) 569-9729
(772) 569-2769
Mailing address
120 66TH AVE SW, VERO BEACH, FL 32968-9706
(772) 569-9729
(772) 569-2769
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
HCC5034
FL
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
02/10/2010
Last updated
02/27/2013
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