Organization · NPI-2

Elite Diagnostix, INC.

Specialist/Technologist, Other · Pembroke Pines, FL

NPI number1477797553
StatusActive
Last updated in NPPESApr 21, 2009

Details

NPI
1477797553
Entity type
Organization (NPI-2)
Legal business name
Elite Diagnostix, INC.
Organization subpart
No
Enumeration date
Apr 21, 2009
Last updated
Apr 21, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246Z00000X Specialist/Technologist, Other––Yes

Practice location

2114 N Flamingo Rd
Suite 166
Pembroke Pines, FL 33028-3501

Phone 954-662-7181

Mailing address

2114 N Flamingo Rd
Suite 166
Pembroke Pines, FL 33028-3501

Phone 954-662-7181

Authorized official

Robert Aguilar
President
9546627181

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