| Organization Name: | MDIAGNOSTIX |
| NPI Number: | 1225162373 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MALCOLM L AUGUSTINE (ADMINISTRATOR) |
| Mailing Address: | 4486 N University Dr Lauderhill |
| State: | FL US |
| Postal Code: | 333514513 |
| Phone Number: | 9547418583 |
| Fax Number: | |
| NPI Enumeration Date: | 03/14/2007 |
| 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: | |