# MOBILE QUALITY DIAGNOSTIC CORP

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

## Provider details

- **NPI number:** 1861652125
- **Authorized official:** MR. REYNALDO ORTEGA RT, RVS (PRESIDENT)
- **Authorized official phone:** (305) 820-8720

## Contact information

- **Practice address:** 1751 W 38 PL, UNIT 1003A, HIALEAH, FL 33012-7021
- **Practice address phone:** (305) 820-8720
- **Practice address fax:** (305) 820-8721
- **Mailing address:** 1751 W 38TH PL, UNIT 1003-A, HIALEAH, FL 33012-7021
- **Mailing address phone:** (305) 820-8720
- **Mailing address fax:** (305) 820-8721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | HCC7302 | FL | Yes |

## Other

- **Enumeration date:** 06/11/2008
- **Last updated:** 06/06/2016