Organization
HEALTH DIAGNOSTICS OF FORT LAUDERDALE LLC
Active
Other names
Stand-Up MRI of Fort Lauderdale
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DAMADIAN (MANAGER)
(631) 694-2816
Entity
Organization
Contact information
Practice address
4616 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-5206
(954) 489-0099
(954) 489-0040
Mailing address
PO BOX 170, FARMINGDALE, NY 11735-0170
(631) 396-1050
(631) 390-1780
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
HCC4707
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2824
BCBS
FL
Enumeration date
09/28/2006
Last updated
05/12/2016
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