Pines Diagnostic Testing Group INC
Clinic/Center, Radiology in Hollywood, FL. Organization (NPI-2).
NPI number1073645461
StatusActive
Last updated in NPPESMay 13, 2008
Details
- NPI
- 1073645461
- Entity type
- Organization (NPI-2)
- Legal business name
- Pines Diagnostic Testing Group INC
- Organization subpart
- No
- Enumeration date
- Mar 12, 2007
- Last updated
- May 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | – | – | Yes |
| 261QM1200X | Clinic/Center, Magnetic Resonance Imaging (MRI) | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – |
Practice location
11011 Sheridan StSuite 101
Hollywood, FL 33026-1505
Phone 954-443-8010 · Fax 305-412-8265
Mailing address
11011 Sheridan StSuite 101
Hollywood, FL 33026-1505
Phone 954-443-8010 · Fax 305-412-8265
Authorized official
Stephen E Cianciulli
President
3052756069
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