| Organization Name: | AVENTURA DIAGNOSTIC TESTING GROUP INC |
| NPI Number: | 1063541712 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN E CIANCIULLI (PRESIDENT) |
| Mailing Address: | 18851 Ne 29th Ave Suite 201 Aventura |
| State: | FL US |
| Postal Code: | 331802808 |
| Phone Number: | 3059325554 |
| Fax Number: | 3054128265 |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 05/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |