# MIRIAM DIAGNOSTIC AND SERVICE INC

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

## Provider details

- **NPI number:** 1932485901
- **Authorized official:** MRS. MIRIAM C REYES (PRESIDENT)
- **Authorized official phone:** (786) 328-5203

## Contact information

- **Practice address:** 7822 SW 128TH PL, MIAMI, FL 33183-4275
- **Practice address phone:** (786) 328-5203
- **Practice address fax:** (305) 433-4090
- **Mailing address:** 7822 SW 128TH PL, MIAMI, FL 33183-4275
- **Mailing address phone:** (786) 328-5203
- **Mailing address fax:** (305) 433-4090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | HCC9257 | FL | Yes |

## Other

- **Enumeration date:** 10/22/2011
- **Last updated:** 03/15/2012