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General NPI Number Information
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NPI Number | 1750394094
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Entity Type | Organization
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Legal Business Name | STAT MOBILE DIAGNOSTICS INC
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18350 NW 2ND AVE SUITE 400
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City | MIAMI
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State | FL
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Zip | 33169-4519
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Country | US
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Telephone | 305-621-7772
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Fax | 305-945-9856
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Provider Business Mailing Address
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Address Line | 18350 NW 2ND AVE SUITE 400
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City | MIAMI
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State | FL
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Zip | 33169-4519
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Country | US
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Telephone | 305-621-7772
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Fax | 305-945-9856
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Authorized Official
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Title or Position | COMPANY PRESIDENT
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Name | JORGE L LOZANO
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Credential | ARRT
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Telephone | 305-621-7772
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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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