Organization Name: | PRO IMAGE DIAGNOSTICS, INC. |
NPI Number: | 1528290053 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURENCE RUBIN (PRESIDENT) |
Mailing Address: | 20421 Southwest 50th Place Southwest Ranches |
State: | FL US |
Postal Code: | 33332 |
Phone Number: | 9549371126 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2009 |
NPI Last Update Date: | 08/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |