# SOUTHERN DIAGNOSTIC INC

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

## Provider details

- **NPI number:** 1811024680
- **Authorized official:** FRANCISCO LOPEZ (PRESIDENT)
- **Authorized official phone:** (305) 642-7767

## Contact information

- **Practice address:** 5941 NW 173RD DR, SUITE 2, HIALEAH, FL 33015-5109
- **Practice address phone:** (305) 642-7767
- **Mailing address:** 5941 NW 173RD DR, SUITE 2, HIALEAH, FL 33015-5109
- **Mailing address phone:** (305) 642-7767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | NULL | Yes |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 10/30/2007