# HEALTH DIAGNOSTICS OF FORT LAUDERDALE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stand-Up MRI of Fort Lauderdale
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518059781
- **Authorized official:** TIMOTHY DAMADIAN (MANAGER)
- **Authorized official phone:** (631) 694-2816

## Contact information

- **Practice address:** 4616 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-5206
- **Practice address phone:** (954) 489-0099
- **Practice address fax:** (954) 489-0040
- **Mailing address:** PO BOX 170, FARMINGDALE, NY 11735-0170
- **Mailing address phone:** (631) 396-1050
- **Mailing address fax:** (631) 390-1780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | HCC4707 | FL | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 05/12/2016
