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NPI Code Detail

MEDICARE: HORIZON MOBILE DIAGNOSTIC INC

MEDICARE: HORIZON MOBILE DIAGNOSTIC 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
1261QR0208XMobile Radiology Clinic/CenterHCC4464FL

General Provider Information

NPI Number : 1174588743
Entity Type Code : Organization
Provider Name (Legal Business Name) : HORIZON MOBILE DIAGNOSTIC INC
Provider Business Mailing Address
First Line : 201 NW 70TH AVE
Second Line : SUITE D-1
City : PLANTATION
State : FL
Zip : 33317-2369
Country : US
Telephone Number : 954-641-1501
Fax Number : 954-641-1506
Provider Business Practice Location Address
First Line : 201 NW 70TH AVE
Second Line : SUITE D-1
City : PLANTATION
State : FL
Zip : 33317-2369
Country : US
Telephone Number : 954-641-1501
Fax Number : 954-641-1506
Authorized Official
Title or Position : GENERAL MANAGER
Name : MRS. ARELIS HERRERA
Credential :
Telephone Number : 954-641-1501
Provider Enumeration Date : 04/18/2006
Last Update Date : 06/20/2013

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Directions to “HORIZON MOBILE DIAGNOSTIC INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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