Organization
MDIAGNOSTIX
Active
Other names
QUALITY PORTABLE X-RAY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MALCOLM L AUGUSTINE (ADMINISTRATOR)
(954) 495-9204
Entity
Organization
Contact information
Practice address
4486 N UNIVERSITY DR, LAUDERHILL, FL 33351-4513
(954) 741-8583
Mailing address
4486 N UNIVERSITY DR, LAUDERHILL, FL 33351-4513
(954) 741-8583
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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