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Diagnostic Portable Lab
Sonography Specialist/Technologist in Aventura, Florida
NPI 1407840937

Diagnostic Portable Lab is a Sonography Specialist/Technologist based in Aventura, FL and is specialized in Sonography. Diagnostic Portable Lab practices in Aventura, FL. The NPI Number for Diagnostic Portable Lab is 1407840937 and holds a License No. (Florida).

The current practice location address for Diagnostic Portable Lab is 21110 Biscayne Blvd, Aventura, FL and can be reached out via phone at 301-931-7884 and via fax at 305-933-3203.

Location: 21110 Biscayne Blvd, Aventura, FL, 33180-1227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407840937
Provider Name
Diagnostic Portable Lab
Credential
Provider Entity Type
Organization
Address
21110 Biscayne Blvd, Aventura, FL, 33180-1227
Phone Number
301-931-7884
Fax Number
305-933-3203
Provider Enumeration Date
09/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
V1034 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
21110 Biscayne Blvd
City
Aventura
State
Florida
Zip
33180-1227
Phone Number
301-931-7884
Fax Number
305-933-3203
person
Provider Business Mailing Address Details
Address
21110 Biscayne Blvd
City
Aventura
State
Florida
Zip
33180-1227
Phone Number
301-931-7884
Fax Number
305-933-3203
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist Cardiovascular
Speciality
Vascular Specialist
Taxonomy
246XC2903X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist Cardiovascular
Speciality
Sonography
Taxonomy
246XS1301X
License No.
()
Definition
Definition to come...
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