PRO DIAGNOSTIC IMAGING INC


Address: 2020 Ne 163rd Street, Suite 208c, N Miami Beach, FL 33162
Phone: 3059406077

PRO DIAGNOSTIC IMAGING INC (NPI# 1548270341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548270341
Entity Type Organization
Organization Name PRO DIAGNOSTIC IMAGING INC
Practice Address 2020 Ne 163rd Street
Suite 208c
N Miami Beach
FL 33162
Practice Telephone 3059406077
Practice Fax Number 3059459856
Mailing Telephone 3059406077
Mailing Fax Number 3059459856
Enumeration Date 2006-08-08
Last Update Date 2008-11-03
Authorized Official Name MR. ERIXON ANAYA (COMPANY PRESIDENT)
Authorized Official Telephone 3059406077
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0208X Clinic/Center
Specialization: Radiology, Mobile
Ambulatory Health Care Facilities

Office Location

Street Address 2020 NE 163RD STREET
SUITE 208C
City N MIAMI BEACH
State FL
Zip Code 33162

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Taxonomy Information

Taxonomy Code 261QR0208X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology, Mobile

Taxonomy Definition

Definition to come...

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Competitor

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City N MIAMI BEACH
Zip Code 33162

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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