Organization
MB DIAGNOSTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODALGIS ROJAS (PRESIDENT)
(305) 537-4269
Entity
Organization
Contact information
Practice address
6303 BLUE LAGOON DR STE 400, MIAMI, FL 33126-6040
(786) 399-5832
Mailing address
6303 BLUE LAGOON DR STE 400, MIAMI, FL 33126-6040
(786) 399-5832
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC10508
FL
Other
Enumeration date
10/27/2015
Last updated
01/04/2016
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