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General NPI Number Information
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NPI Number | 1083655914
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE DIAGNOSTICS INC.
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 1990 NE 163RD ST STE 207
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4854
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Country | US
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Telephone | 305-861-0232
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Fax | 305-935-7561
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Provider Business Mailing Address
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Address Line | PO BOX 800317
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City | AVENTURA
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State | FL
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Zip | 33280-0317
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Country | US
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Telephone | 305-861-0232
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Fax | 305-935-7561
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL WEINSTOCK
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Credential |
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Telephone | 305-861-0232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | HCC5316
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License Number State | FL
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