# LG DIAGNOSTIC

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

## Provider details

- **NPI number:** 1801231550
- **Authorized official:** ADRIANA LOPEZ (VICE PRESIDENT)
- **Authorized official phone:** (305) 267-4414

## Contact information

- **Practice address:** 815 NW 57TH AVE STE 125, MIAMI, FL 33126-2068
- **Practice address phone:** (305) 267-4414
- **Mailing address:** 815 NW 57TH AVE STE 125, MIAMI, FL 33126-2068
- **Mailing address phone:** (305) 267-4414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME108475 | FL | Yes |

## Other

- **Enumeration date:** 05/08/2013
- **Last updated:** 05/08/2013