Organization
CRYSTAL CLEAR IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL MERCADO (SECRETARY)
(941) 228-8660
Entity
Organization
Contact information
Practice address
4051 FARGO ST N, SAINT PETERSBURG, FL 33714-4550
(941) 228-8660
Mailing address
PO BOX 21644, ST PETERSBURG, FL 33742-1644
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Enumeration date
05/31/2012
Last updated
06/13/2012
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