Organization
IMAGING NATION DIAGNOSTICS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO ALFONSO (PRESIDENT)
(786) 353-9160
Entity
Organization
Contact information
Practice address
1250 SW 27TH AVE STE 303, MIAMI, FL 33135-4749
(786) 353-9160
(786) 580-3174
Mailing address
1250 SW 27TH AVE STE 303, 303, MIAMI, FL 33135-4749
(786) 353-9160
(786) 580-3174
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
HCC10377
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC10377
AHCA
FL
Enumeration date
07/08/2015
Last updated
07/08/2015
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