Organization Name: | XL DIAGNOSTIC CENTER INC |
NPI Number: | 1801920954 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JORGE SANTOS (PRESIDENT) |
Mailing Address: | 13205 Sw 137th Ave Suite 128 Miami |
State: | FL US |
Postal Code: | 331865331 |
Phone Number: | 3059699676 |
Fax Number: | 3059699656 |
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: | 293D00000X |
License Number: | HCC 3991 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | FL |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |