Provider Demographics
NPI:1033899539
Name:BH DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:BH DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGATIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-821-5229
Mailing Address - Street 1:333 LAS OLAS WAY STE 428
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-2884
Mailing Address - Country:US
Mailing Address - Phone:646-821-5229
Mailing Address - Fax:
Practice Address - Street 1:333 LAS OLAS WAY STE 428
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2884
Practice Address - Country:US
Practice Address - Phone:646-821-5229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier