Med Tech Imaging, INC.
Physiological Laboratory in Fort Lauderdale, FL. Organization (NPI-2).
NPI number1780767012
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1780767012
- Entity type
- Organization (NPI-2)
- Legal business name
- Med Tech Imaging, INC.
- Organization subpart
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | – | Yes |
Practice location
2000 E Sunrise BlvdFort Lauderdale, FL 33304-3044
Phone 954-766-6060 · Fax 954-341-3400
Mailing address
2000 E Sunrise BlvdFort Lauderdale, FL 33304-3044
Phone 954-766-6060 · Fax 954-341-3400
Authorized official
Randall Auclair
President
9547666060
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