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Organization

STAT DIAGNOSTIC SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BERNARDINO P ENRIQUEZ GENERAL RADIOGRAPHER (PRESIDENT)
(305) 265-4454
Entity
Organization

Contact information

Practice address
8100 W FLAGLER ST, SUITE 200, MIAMI, FL 33144-2155
(305) 265-4454
(305) 265-4464
Mailing address
8100 W FLAGLER ST, SUITE 200, MIAMI, FL 33144-2155
(305) 265-4454
(305) 265-4464

Taxonomy

Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
W9942
FL

Other

Enumeration date
09/25/2006
Last updated
09/15/2008
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