Organization Name: | PRO DIAGNOSTIC IMAGING INC |
NPI Number: | 1548270341 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIXON ANAYA (COMPANY PRESIDENT) |
Mailing Address: | 2020 Ne 163rd Street Suite 208c N Miami Beach |
State: | FL US |
Postal Code: | 33162 |
Phone Number: | 3059406077 |
Fax Number: | 3059459856 |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 11/03/2008 |
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: |