Executive Diagnostic Center

LBN: Executive Diagnostic Center
Executive Diagnostic Center is an health care organization with primary practice located at 5211 Nw 79Th Ave , Doral FL 33166-4715. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Executive Diagnostic Center can be contacted via phone (305) 994-7343, or through Diaz, Leidy via phone (305) 994-7343.

Contact Information

Primary practice address
5211 Nw 79Th Ave Doral FL 33166-4715
Phone: (305) 994-7343
Fax: (305) 994-7346
Website:
Map and Directions
Authorized official contact:
Name: Diaz, Leidy OWNER
Phone: (305) 994-7343

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1609156231
LBN Legal business name Executive Diagnostic Center
DBA Doing business as
Authorized official Diaz, Leidy OWNER
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2011
Last updated Aug 26th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609156231 NPPES
Florida Other CRT 77803 CERTIFIED RADIOLOGY TECHNICIAN
Florida Other HCC 9220 CERTIFIED RADIOLOGY TECHNICIAN

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