Healthcare Provider Details

I. General information

NPI: 1083655914
Provider Name (Legal Business Name): COMPREHENSIVE DIAGNOSTICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 11/09/2021
Certification Date: 09/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1990 NE 163RD ST STE 207
NORTH MIAMI BEACH FL
33162-4854
US

IV. Provider business mailing address

PO BOX 800317
AVENTURA FL
33280-0317
US

V. Phone/Fax

Practice location:
  • Phone: 305-861-0232
  • Fax: 305-935-7561
Mailing address:
  • Phone: 305-861-0232
  • Fax: 305-935-7561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License NumberHCC5316
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL WEINSTOCK
Title or Position: OWNER
Credential:
Phone: 305-861-0232