Organization Name: | UNIVERSITY DIAGNOSTIC CENTER, INC. |
NPI Number: | 1831242866 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FOUAD HENRY SCANDAR (DIRECTOR) |
Mailing Address: | 2710 Sw 37th Ave Coconut Grove |
State: | FL US |
Postal Code: | 331332728 |
Phone Number: | 3054424122 |
Fax Number: | |
NPI Enumeration Date: | 01/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |