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NPI Code Detail

MEDICARE: JL X RAY OPTIONS, INC

MEDICARE: JL X RAY OPTIONS, 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
1261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)HCC9938FL
2261QR0208XMobile Radiology Clinic/CenterHCC9938FL

General Provider Information

NPI Number : 1144562612
Entity Type Code : Organization
Provider Name (Legal Business Name) : JL X RAY OPTIONS, INC
Provider Business Mailing Address
First Line : 10340 NW 36TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33147-1036
Country : US
Telephone Number : 305-884-2986
Fax Number : 866-653-0317
Provider Business Practice Location Address
First Line : 10340 NW 36TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33147-1036
Country : US
Telephone Number : 305-884-2986
Fax Number : 866-653-0317
Authorized Official
Title or Position : OWNER
Name : LISANDRA BORGES
Credential : LMT-BMO
Telephone Number : 305-884-2986
Provider Enumeration Date : 03/22/2013
Last Update Date : 03/16/2018

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Directions to “JL X RAY OPTIONS, INC ” Practice Location

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