MEDICARE: DIAGNOSTIC ASSOCIATION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1053365353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAGNOSTIC ASSOCIATION INC

Provider Business Mailing Address
First Line	:	10542 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-2602
Country	:	US
Telephone Number	:	305-554-8888
Fax Number	:	305-554-8575

Provider Business Practice Location Address
First Line	:	10542 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-2602
Country	:	US
Telephone Number	:	305-554-8888
Fax Number	:	305-554-8575

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	LAZARO A LEAL
Credential	:
Telephone Number	:	305-554-8888

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	08/22/2020

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Directions to “DIAGNOSTIC ASSOCIATION INC ” Practice Location

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