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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