MEDICARE: L & H DIAGNOSTIC CENTER

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
1	261Q00000X	Clinic/Center		FL

General Provider Information

NPI Number	:	1144275108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L & H DIAGNOSTIC CENTER

Provider Business Mailing Address
First Line	:	4842 N UNIVERSITY DR
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33351-4510
Country	:	US
Telephone Number	:	954-741-0620
Fax Number	:

Provider Business Practice Location Address
First Line	:	4842 N UNIVERSITY DR
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33351-4510
Country	:	US
Telephone Number	:	954-741-0620
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALBERTO C GARCIA
Credential	:
Telephone Number	:	954-741-0620

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	08/22/2020

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