Organization
KEY WEST COMMUNITY DIAGNOSTIC COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO MARTINEZ (PRESIDENT)
(305) 296-3146
Entity
Organization
Contact information
Practice address
3414 DUCK AVE, KEY WEST, FL 33040-4427
(305) 295-9771
(305) 295-0059
Mailing address
3414 DUCK AVE, KEY WEST, FL 33040-4427
(305) 295-9771
(305) 295-0059
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2006
Last updated
01/31/2012
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