Organization
INTERSCAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YIGANI RODRIGUEZ (OWNER)
(305) 821-8949
Entity
Organization
Contact information
Practice address
1444 W 49TH ST, HIALEAH, FL 33012-3219
(305) 821-8949
(305) 821-1964
Mailing address
1444 W 49TH ST, HIALEAH, FL 33012-3219
(305) 821-8949
(305) 821-1964
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
HCC9892
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377239000
—
FL
Enumeration date
01/24/2018
Last updated
01/24/2018
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