# UNITED PORTABLE DIAGNOSTIC IMAGING INC

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

## Provider details

- **NPI number:** 1891495743
- **Authorized official:** MICHAEL JOSAPHAT CRT (OWNER)
- **Authorized official phone:** (561) 818-6479

## Contact information

- **Practice address:** 202 NE 2ND ST, OKEECHOBEE, FL 34972-2960
- **Practice address phone:** (561) 818-6479
- **Mailing address:** 202 NE 2ND ST, OKEECHOBEE, FL 34972-2960
- **Mailing address phone:** (561) 818-6479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2023
- **Last updated:** 03/08/2023