| Prestige Diagnostic Corp | |
|
6474 Miami Lakes Dr E # 210c Miami Lakes FL 33014-2756 | |
| (786) 639-0505 | |
| Not Available |
| Full Name | Prestige Diagnostic Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 6474 Miami Lakes Dr E # 210c, Miami Lakes, Florida |
| Authorized Official Name and Position | Carmen Rivas (PRESIDENT) |
| Authorized Official Contact | 7866390505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Diagnostic Corp 6474 Miami Lakes Dr E # 210c Miami Lakes FL 33014-2756 Ph: (786) 639-0505 | Prestige Diagnostic Corp 6474 Miami Lakes Dr E # 210c Miami Lakes FL 33014-2756 Ph: (786) 639-0505 |
| NPI Number | 1639385099 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639385099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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