# SUMMIT CLINICAL DIAGNOSTIC GROUP LLC

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

## Provider details

- **NPI number:** 1730443268
- **Authorized official:** MR. JOAO CARLOS MARTINS (PRESIDENT)
- **Authorized official phone:** (305) 274-4501

## Contact information

- **Practice address:** 11140 N. KENDALL DR., SUITE 100, MIAMI, FL 33176
- **Practice address phone:** (305) 546-3637
- **Mailing address:** 11140 NORTH KENDALL DRIVE, SUITE 110, MIAMI, FL 33176
- **Mailing address phone:** (305) 546-3637
- **Mailing address fax:** (305) 274-4549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | FL | Yes |

## Other

- **Enumeration date:** 06/29/2012
- **Last updated:** 08/15/2012