Organization
MD DIAGNOSTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELESDANIA MALDONADO SANZ (PRESIDENT/TECHNICIAN)
(786) 285-9502
Entity
Organization
Contact information
Practice address
7405 SW 148TH CT, MIAMI, FL 33193-1144
(786) 285-9502
Mailing address
7405 SW 148TH CT, MIAMI, FL 33193-1144
(786) 285-9502
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
147114
FL
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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