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General NPI Number Information
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NPI Number | 1801920954
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Entity Type | Organization
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Legal Business Name | XL DIAGNOSTIC CENTER INC
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 13205 SW 137TH AVE SUITE 128
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City | MIAMI
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State | FL
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Zip | 33186-5331
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Country | US
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Telephone | 305-969-9676
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Fax | 305-969-9656
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Provider Business Mailing Address
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Address Line | 13205 SW 137TH AVE SUITE 128
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City | MIAMI
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State | FL
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Zip | 33186-5331
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Country | US
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Telephone | 305-969-9676
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Fax | 305-969-9656
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JORGE SANTOS
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Credential |
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Telephone | 305-969-9676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | HCC 3991
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number | HCC3991
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License Number State | FL
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