Southern Diagnostic INC

NPI #1811024680 in Hialeah, Florida

Provider Information

NPI Number: 1811024680
Entity Type: Organization
Organization Name: Southern Diagnostic INC
Primary Specialty: Radiologic Technologist - Vascular Sonography
Enumeration Date: Feb 27, 2007
Last Updated: Oct 30, 2007

Practice Location

Address: 5941 NW 173RD DR
Address 2: SUITE 2
City: Hialeah
State: Florida
ZIP Code: 33015-5109
Phone: (305) 642-7767

Authorized Official

Name: FRANCISCO LOPEZ
Title: PRESIDENT
Phone: (305) 642-7767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist - Vascular Sonography — Vascular Sonography	2471V0105X	Primary

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