# LAM MOBILE DIAGNOSTIC INC

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

## Provider details

- **NPI number:** 1992900880
- **Authorized official:** MR. FABIAN MELNIK (PRESIDENT)
- **Authorized official phone:** (305) 805-0014

## Contact information

- **Practice address:** 435 HIALEAH DR, UPSTAIRS OFFFICE \#6, HIALEAH, FL 33010-5358
- **Practice address phone:** (305) 805-0014
- **Practice address fax:** (305) 805-0445
- **Mailing address:** 435 HIALEAH DR, UPSTAIRS OFFFICE \#6, HIALEAH, FL 33010-5358
- **Mailing address phone:** (305) 805-0014
- **Mailing address fax:** (305) 805-0445

## Taxonomy

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

## Other

- **Enumeration date:** 06/19/2007
- **Last updated:** 11/08/2007