Organization
LG DIAGNOSTIC
Active
Organization
LG DIAGNOSTIC
Active
Parent organization
LG DIAGNOSTIC, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LG DIAGNOSTIC, INC.
Authorized official
ADRIANA LOPEZ (VICEPRESIDENT)
(305) 267-4414
Entity
Organization
Contact information
Practice address
815 NW 57TH AVE STE 125, MIAMI, FL 33126-2068
(305) 267-4414
Mailing address
815 NW 57TH AVE STE 125, MIAMI, FL 33126-2068
(305) 267-4414
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH10100
FL
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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