Organization Name: | JL X RAY OPTIONS INC |
NPI Number: | 1144562612 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISANDRA BORGES (LMT- XRAY TECH) |
Mailing Address: | 601 Ludlam Dr Apt 9 Miami Springs |
State: | FL US |
Postal Code: | 331664971 |
Phone Number: | 7864864958 |
Fax Number: | 7864624330 |
NPI Enumeration Date: | 03/22/2013 |
NPI Last Update Date: | 03/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0401X |
License Number: | HCC9938 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Taxonomy Definition: |