Organization
STAT MOBILE DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE LOZANO ARRT (PRESIDENT)
(305) 621-7772
Entity
Organization
Contact information
Practice address
18350 NW 2ND AVE, SUITE 400, MIAMI, FL 33169-4519
(305) 621-7772
Mailing address
2221 NE 164TH ST, #290, NORTH MIAMI BEACH, FL 33160-3703
(305) 621-7772
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
5747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E2241
MEDICARE PTAN
FL
Enumeration date
01/23/2008
Last updated
01/23/2008
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