Organization
MIRIAM DIAGNOSTIC AND SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM C REYES (PRESIDENT)
(786) 328-5203
Entity
Organization
Contact information
Practice address
7822 SW 128TH PL, MIAMI, FL 33183-4275
(786) 328-5203
(305) 433-4090
Mailing address
7822 SW 128TH PL, MIAMI, FL 33183-4275
(786) 328-5203
(305) 433-4090
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
HCC9257
FL
Other
Enumeration date
10/22/2011
Last updated
03/15/2012
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