Organization Name: | VLADIMIR RAMIREZ DIAGNOSTIC CENTER CORP |
NPI Number: | 1841668589 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VLADIMIR RAMIREZ (PRESIDENT) |
Mailing Address: | 5520 Fern Valley Rd Ste 111 Louisville |
State: | KY US |
Postal Code: | 402281089 |
Phone Number: | 5022991470 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2015 |
NPI Last Update Date: | 09/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |