Diagnostic Portable Lab in Aventura - Sonography

Diagnostic Portable Lab - NPI 1407840937

Diagnostic Portable Lab is a Sonography in Aventura, Florida. Diagnostic Portable Lab practices all healthcare services and medical treatments related to Sonography. The NPI Number for Diagnostic Portable Lab is 1407840937. The last update date is 2020-08-22.

Diagnostic Portable Lab's current location address is 21110 Biscayne Blvd, Aventura, Florida. You can contact this provider via phone number 3019317884 and fax number 3059333203. The mailing address for Diagnostic Portable Lab is 21110 Biscayne Blvd, Aventura, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Diagnostic Portable Lab
Address 21110 Biscayne Blvd, Aventura, Florida
Phone Number 3019317884
Fax Number 3059333203
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Hanabergh Enrique
Credentials MD
Telephone Number 3059317884

NPI Number Detail

NPI Number 1407840937
Provider Enumeration Date 2005-09-12
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 21110 Biscayne Blvd
City Aventura
State Florida (FL)
Post Code 331801227
Phone Number 3019317884
Fax Number 3059333203

Provider's Primary Taxonomy Detail

Speciality Sonography
Taxonomy 246Xs1301X
Definition:
Performs diagnostic ultrasound imaging examinations using high-frequency sound waves to visualize soft tissues and body structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
V1034 FL BCBS

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FAQs about Diagnostic Portable Lab

What is the unique identification code assigned to Diagnostic Portable Lab by the Centers for Medicare & Medicaid Services?

The Diagnostic Portable Lab has been issued the NPI (National Provider Identifier) 1407840937. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Diagnostic Portable Lab's physical address?

The Diagnostic Portable Lab is physically located at 21110 Biscayne Blvd, in the city of Aventura, FL, with the postal code 331801227.

What is the area of specialization for Diagnostic Portable Lab, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Diagnostic Portable Lab is Sonography, and the corresponding taxonomy code that categorizes this area of expertise is 246Xs1301X.

When did Diagnostic Portable Lab receive its 1407840937 assignment?

The Diagnostic Portable Lab was assigned its 1407840937 on 2005-09-12, which is the date when this unique identifier was issued to the organization.

When was the information regarding Diagnostic Portable Lab, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Diagnostic Portable Lab, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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