Organization
MD DIAGNOSTIC LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIREYA H MARTIN RDMS, RBS,RCS, CCT (PRESIDENT)
(305) 264-0045
Entity
Organization
Contact information
Practice address
7229A CORAL WAY, MIAMI, FL 33155-1401
(305) 264-0045
(305) 229-9456
Mailing address
1302 S.W. 142 CT, MIAMI, FL 33184
(305) 984-7906
(305) 229-9456
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
06/11/2008
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