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Organization
HIALEAH IMAGING CORP
Active
Organization
HIALEAH IMAGING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO RAMIREZ (PRESIDENT)
(305) 819-0004
Entity
Organization
Contact information
Practice address
1681 W 37TH ST # 18-19, HIALEAH, FL 33012-4651
(305) 819-0004
(305) 819-3727
Mailing address
1681 W 37TH ST # 18-19, HIALEAH, FL 33012-4651
(305) 819-0004
(305) 819-3727
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC5186
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255270100
—
FL
01
—
33733
BC & BS OF FLORIDA
FL
Enumeration date
01/09/2007
Last updated
04/07/2011
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