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Florida: SOUTHERN DIAGNOSTIC INC HIALEAH FL 33015-5109 305-642-7767

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SOUTHERN DIAGNOSTIC INC

Technologists, Technicians & Other Technical Service Providers Radiologic Technologist Vascular Sonography

Provider NPI: 1811024680

Organization Information:
Organization Name:  SOUTHERN DIAGNOSTIC INC
Organization is not Subpart
Authorized Official:  FRANCISCO  LOPEZ  PRESIDENT  305-642-7767

Practice Location:
5941 NW 173RD DR SUITE 2 HIALEAH, FL 33015-5109 US
Tel: 305-642-7767  Fax: --

Business Mailing Address:
5941 NW 173RD DR SUITE 2 HIALEAH, FL 33015-5109 US
Tel: 305-642-7767  Fax: --

NPI Information:
NPI: 1811024680
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2471V0105XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
Vascular Sonography

Other Provider Identifiers:

IssuerNumberStateType