# ULTIMATE DIAGNOSTIC CENTER CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457678526
- **Authorized official:** JELLIEZET OROZCO (PRESIDENT)
- **Authorized official phone:** (305) 393-8102

## Contact information

- **Practice address:** 28870 S DIXIE HWY, HOMESTEAD, FL 33033-2405
- **Practice address phone:** (305) 393-8102
- **Practice address fax:** (305) 359-3689
- **Mailing address:** 28870 S DIXIE HWY, HOMESTEAD, FL 33033-2405
- **Mailing address phone:** (305) 393-8102
- **Mailing address fax:** (305) 359-3689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/28/2010
- **Last updated:** 03/26/2019