Organization
MIA MOBILE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YENEDIK FONTELA VILA R.T.(R)(BD)(ARRT) (OWNER)
(786) 230-5970
Entity
Organization
Contact information
Practice address
15935 SW 98TH ST, MIAMI, FL 33196-6198
(786) 230-5970
Mailing address
15935 SW 98TH ST, MIAMI, FL 33196-6198
(786) 230-5970
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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