Organization
STAT DIAGNOSTIC SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARDINO P ENRIQUEZ (PRESIDENT)
(305) 207-9844
Entity
Organization
Contact information
Practice address
8100 W FLAGLER ST, SUITE 200, MIAMI, FL 33144-2155
(305) 265-4454
Mailing address
8100 W FLAGLER ST, SUITE 200, MIAMI, FL 33144-2155
(305) 265-4454
(305) 265-4464
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
09/10/2007
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