Organization
MOBILE QUALITY DIAGNOSTIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REYNALDO ORTEGA RT RVS (PRESIDENT)
(305) 820-8720
Entity
Organization
Contact information
Practice address
1751 W 38TH PL, #1003-A, HIALEAH, FL 33012-7021
(305) 820-8720
(305) 820-8721
Mailing address
1751 W 38TH PL, UNIT 1003-A, HIALEAH, FL 33012-7021
(305) 820-8720
(305) 820-8721
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
HCC4270
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030619300
—
FL
Enumeration date
08/30/2005
Last updated
04/12/2011
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