Organization
PREMIER DIAGNOSTIC TESTING, INC.
Active
Organization
PREMIER DIAGNOSTIC TESTING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD KANTOR (PRESIDENT)
(954) 868-6380
Entity
Organization
Contact information
Practice address
12515 ORANGE DR, SUITE 808, DAVIE, FL 33330-4309
(954) 868-6380
Mailing address
12515 ORANGE DR, SUITE 808, DAVIE, FL 33330-4309
(954) 868-6380
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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