Organization
SOUTHERN DIAGNOSTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO LOPEZ (PRESIDENT)
(305) 642-7767
Entity
Organization
Contact information
Practice address
5941 NW 173RD DR, SUITE 2, HIALEAH, FL 33015-5109
(305) 642-7767
Mailing address
5941 NW 173RD DR, SUITE 2, HIALEAH, FL 33015-5109
(305) 642-7767
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
10/30/2007
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