Healthcare Provider Details

I. General information

NPI: 1144480351
Provider Name (Legal Business Name): E.S.R. DIAGNOSTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 06/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

899 SW 86TH CT
MIAMI FL
33144-4028
US

IV. Provider business mailing address

899 SW 86TH CT
MIAMI FL
33144-4028
US

V. Phone/Fax

Practice location:
  • Phone: 305-267-6600
  • Fax: 305-267-4001
Mailing address:
  • Phone: 305-267-6600
  • Fax: 305-267-4001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. ERNESTO S RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-267-6600