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NPI Code Detail

MEDICARE: ATLAS DIAGNOSTIC HOLDINGS

MEDICARE: ATLAS DIAGNOSTIC HOLDINGS
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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
2291U00000XClinical Medical LaboratoryHCC12300FL

General Provider Information

NPI Number : 1316486566
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATLAS DIAGNOSTIC HOLDINGS
Provider Business Mailing Address
First Line : 4023 N ARMENIA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33607-1017
Country : US
Telephone Number : 813-443-2185
Fax Number : 813-443-4838
Provider Business Practice Location Address
First Line : 10150 HIGHLAND MANOR DR STE 200
Second Line :
City : TAMPA
State : FL
Zip : 33610-9712
Country : US
Telephone Number : 718-789-1818
Fax Number : 718-789-1616
Authorized Official
Title or Position : OWNER
Name : CHESKEL REICH
Credential :
Telephone Number : 917-468-7480
Provider Enumeration Date : 02/21/2017
Last Update Date : 07/13/2023

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Directions to “ATLAS DIAGNOSTIC HOLDINGS ” Practice Location

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