# F.B.A. DIAGNOSTIC CENTER, INC.

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

## Provider details

- **NPI number:** 1508169541
- **Authorized official:** MR. BENJAMIN A. VALDES (PRESIDENT)
- **Authorized official phone:** (305) 225-9245

## Contact information

- **Practice address:** 697 E 9TH ST, HIALEAH, FL 33010-4523
- **Practice address phone:** (305) 225-9245
- **Mailing address:** 697 E 9TH ST, HIALEAH, FL 33010-4523
- **Mailing address phone:** (305) 225-9245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2010
- **Last updated:** 12/14/2010