Organization
LOGIC DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICOLAS GIACAMAN SALGADO (VICE PRESIDENT)
(954) 278-9088
Entity
Organization
Contact information
Practice address
18501 PINES BLVD, STE 205B, PEMBROKE PINES, FL 33029-1414
(954) 278-9088
(954) 607-5825
Mailing address
PO BOX 820636, PEMBROKE PINES, FL 33082-0636
(954) 278-9088
(954) 607-5825
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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