Organization
NON-INVASIVE DIAGNOSTIC IMAGING SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE PEREZ (PRESIDENT)
(305) 559-1190
Entity
Organization
Contact information
Practice address
13055 SW 42ND ST, SUITE 206, MIAMI, FL 33175-3406
(305) 412-0038
(305) 412-0038
Mailing address
13055 SW 42ND ST, SUITE 206, MIAMI, FL 33175-3406
(305) 412-0038
(305) 412-0038
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376989500
—
FL
Enumeration date
02/09/2007
Last updated
07/08/2008
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