Myvy Southwest Imaging LLC
NPI #1619446853 in Bay Harbor Is, Florida
Provider Information
- NPI Number
- 1619446853
- Entity Type
- Organization
- Organization Name
- Myvy Southwest Imaging LLC
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Nov 16, 2018
- Last Updated
- Dec 3, 2018
Practice Location
- Address
- 1160 KANE CONCOURSE STE 402
- City
- Bay Harbor Is
- State
- Florida
- ZIP Code
- 33154-2059
- Phone
- (646) 932-4565
Authorized Official
- Name
- GENNADIY VERLOKA
- Title
- PRESIDENT
- Phone
- (646) 932-4565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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