Provider Demographics
NPI:1053829812
Name:RAPID ACCESS MEDICAL DIAGNOSTICS FLA
Entity Type:Organization
Organization Name:RAPID ACCESS MEDICAL DIAGNOSTICS FLA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ORESTE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRUNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-534-4920
Mailing Address - Street 1:397 WOODBURY RD
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-1201
Mailing Address - Country:US
Mailing Address - Phone:888-534-4920
Mailing Address - Fax:888-890-1910
Practice Address - Street 1:1498 NW 54TH ST STE C
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-3861
Practice Address - Country:US
Practice Address - Phone:888-534-4920
Practice Address - Fax:888-890-1910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-15
Last Update Date:2018-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty