Organization
HK DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS PORTAL (PRESIDENT)
(305) 871-8014
Entity
Organization
Contact information
Practice address
6595 NW 36TH ST, SUITE 316, VIRGINIA GARDENS, FL 33166-6979
(305) 871-8014
(305) 871-8017
Mailing address
6595 NW 36TH ST, SUITE 316, VIRGINIA GARDENS, FL 33166-6979
(305) 871-8014
(305) 871-8017
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC6782
FL
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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