Organization Name: | DIAGNOSTIC MEDICAL TESTING INC |
NPI Number: | 1083672208 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY O CROXTON (PRESIDENT) |
Mailing Address: | 2435 Us Highway 19 Suite 210 Holiday |
State: | FL US |
Postal Code: | 346913903 |
Phone Number: | 7279405908 |
Fax Number: | 8666372890 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 02/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |