# ULTIMATE DIAGNOSTIC CENTER CORP

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

## Provider details

- **NPI number:** 1750829826
- **Authorized official:** JELLIEZET OROZCO (OWNER)
- **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 |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | HCC8773 | FL | Yes |

## Other

- **Enumeration date:** 02/08/2017
- **Last updated:** 02/08/2017