Organization
LGP MIAMI COMPANY INC
Active
Other names
SONOVIDA DIAGNOSTICS
Organization subpart
No
Provider details
NPI number
Authorized official
OSVALDO GARCIA DE LA CRUZ (PRESIDENT)
(786) 326-2404
Entity
Organization
Contact information
Practice address
9010 SW 137TH AVE STE 202, MIAMI, FL 33186-1438
(786) 326-1972
Mailing address
4721 SW 142ND CT, MIAMI, FL 33175-4324
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
261Q00000X
Clinic/Center
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
02/05/2022
Last updated
05/03/2023
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