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NPI Code Detail

MEDICARE: INTERSCAN INC

MEDICARE: INTERSCAN INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1200XMagnetic Resonance Imaging (MRI) Clinic/CenterHCC3978FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053378471
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTERSCAN INC
Provider Business Mailing Address
First Line : 1444 W 49TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3219
Country : US
Telephone Number : 305-821-8949
Fax Number : 305-821-1964
Provider Business Practice Location Address
First Line : 1444 W 49TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3219
Country : US
Telephone Number : 305-821-8949
Fax Number : 305-821-1964
Authorized Official
Title or Position : OWNER
Name : YIGANI RODRIGUEZ
Credential :
Telephone Number : 305-299-2700
Provider Enumeration Date : 04/28/2006
Last Update Date : 06/08/2011

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