MEDICARE: ASAP 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
1	293D00000X	Physiological Laboratory	HCC6581	FL

General Provider Information

NPI Number	:	1619935855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASAP DIAGNOSTIC INC

Provider Business Mailing Address
First Line	:	5913 JOHNSON ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-5637
Country	:	US
Telephone Number	:	954-893-3811
Fax Number	:	954-893-3812

Provider Business Practice Location Address
First Line	:	5913 JOHNSON ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-5637
Country	:	US
Telephone Number	:	954-893-3811
Fax Number	:	954-893-3812

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JULIAN A YEPE
Credential	:
Telephone Number	:	954-893-3811

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	09/08/2008

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Directions to “ASAP DIAGNOSTIC INC ” Practice Location

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