Advanced Diagnostic LLC
Technician, Other in Miami, FL. Organization (NPI-2).
NPI number1093191900
StatusActive
Last updated in NPPESAug 3, 2015
Details
- NPI
- 1093191900
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Diagnostic LLC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2015
- Last updated
- Aug 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | 5228 | NY | Yes |
Practice location
13876 Sw 56th StSuite 257
Miami, FL 33175-6021
Phone 305-831-3193 · Fax 305-602-9828
Mailing address
13876 Sw 56th StSuite 257
Miami, FL 33175-6021
Phone 305-831-3193 · Fax 305-602-9828
Authorized official
Anthony Zollicoffer
Associate Partner
3058313193
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