| Organization Name: | CHIROMEDIC MOBILE DIAGNOSTIC INC. |
| NPI Number: | 1063631703 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL GUADAGNO (CHIROPRACTOR) |
| Mailing Address: | 9807 Nw 80th Ave Unit 11f Hialeah Gardens |
| State: | FL US |
| Postal Code: | 330162325 |
| Phone Number: | 3053629522 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |