Organization
LAKES RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL ARRIAGA (PRESIDENT)
(305) 231-1115
Entity
Organization
Contact information
Practice address
14575 NW 77TH AVE STE 100-200, MIAMI LAKES, FL 33014-2547
(305) 231-1115
(305) 231-1116
Mailing address
14575 NW 77TH AVE STE 100-200, MIAMI LAKES, FL 33014-2547
(305) 231-1115
(305) 231-1116
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
P03000029264
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P03000029264
P03000029264
FL
Enumeration date
01/29/2007
Last updated
07/12/2021
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