MEDICARE: ASSOCIATED RADIOLOGY 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	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1710903869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATED RADIOLOGY DIAGNOSTIC, INC

Provider Business Mailing Address
First Line	:	8150 SW 8TH ST STE 118-119
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4263
Country	:	US
Telephone Number	:	305-265-1911
Fax Number	:	305-265-8164

Provider Business Practice Location Address
First Line	:	8150 SW 8TH ST STE 118-119
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4263
Country	:	US
Telephone Number	:	305-265-1911
Fax Number	:	305-265-8164

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ELIZABETH M VERDE
Credential	:
Telephone Number	:	305-265-1911

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	08/22/2020

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