Organization
THE MEDICAL TESTING AND REFERRAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO DIAZ M.D. (MEDICAL DIRECTOR)
(251) 967-7660
Entity
Organization
Contact information
Practice address
350 CYPRESS BEND BLVD, GULF SHORES, AL 36542-2773
(251) 967-7608
(251) 967-7647
Mailing address
350 CYPRESS BEND BLVD, GULF SHORES, AL 36542-2773
(251) 967-7608
(251) 967-7647
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25353
AL
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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