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Organization
LGP MIAMI COMPANY INC
Active
Organization
LGP MIAMI COMPANY INC
Active
Other names
SONOVIDA DIAGNOSTICS
Organization subpart
No
Provider details
NPI number
Authorized official
OSVALDO GARCIA DE LA CRUZ (PRESIDENT)
(786) 326-2404
Entity
Organization
Contact information
Practice address
9010 SW 137TH AVE STE 202, MIAMI, FL 33186-1438
(786) 326-1972
Mailing address
4721 SW 142ND CT, MIAMI, FL 33175-4324
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
261Q00000X
Clinic/Center
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
02/05/2022
Last updated
05/03/2023
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