Organization
HOLLYWOOD MOBILE IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA SMITH-LOPEZ (PRESIDENT/ CEO)
(954) 251-1226
Entity
Organization
Contact information
Practice address
1415 MADISON ST, HOLLYWOOD, FL 33020-5526
(954) 251-1226
Mailing address
1415 MADISON ST, HOLLYWOOD, FL 33020-5526
(954) 251-1226
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
12/22/2009
Last updated
09/16/2010
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