Healthcare Provider Details

I. General information

NPI: 1770802860
Provider Name (Legal Business Name): TURNKEY MOBILE DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 05/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12555 ORANGE DR # 123
DAVIE FL
33330-4304
US

IV. Provider business mailing address

1541 BRICKELL AVE APT 801
MIAMI FL
33129-1216
US

V. Phone/Fax

Practice location:
  • Phone: 888-262-5606
  • Fax: 888-785-2438
Mailing address:
  • Phone: 888-262-5606
  • Fax: 888-785-2438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. CLARENCE C CLAFLIN II
Title or Position: CO-PRESIDENT
Credential:
Phone: 888-262-5606