Organization
MOVIL DIAGNOSTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODALIS MONDEJA (PRESIDENT)
(786) 615-9386
Entity
Organization
Contact information
Practice address
11320 NW 62ND AVE, HIALEAH, FL 33012-2362
(786) 615-9386
Mailing address
11320 NW 62ND AVE, HIALEAH, FL 33012-2362
(786) 615-9386
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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