Organization
LG DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA LOPEZ (VICE PRESIDENT)
(305) 267-4414
Entity
Organization
Contact information
Practice address
815 NW 57TH AVE STE 125, MIAMI, FL 33126-2068
(305) 267-4414
Mailing address
815 NW 57TH AVE STE 125, MIAMI, FL 33126-2068
(305) 267-4414
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME108475
FL
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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