Provider Demographics
NPI:1073546842
Name:GENERAL DIAGNOSTIC SERVICES CROP
Entity Type:Organization
Organization Name:GENERAL DIAGNOSTIC SERVICES CROP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:K
Authorized Official - Last Name:LEHINAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-219-8593
Mailing Address - Street 1:42 NW 27 AVE
Mailing Address - Street 2:STE 308
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125
Mailing Address - Country:US
Mailing Address - Phone:305-219-8593
Mailing Address - Fax:
Practice Address - Street 1:42 NW 27 AVE
Practice Address - Street 2:STE 308
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125
Practice Address - Country:US
Practice Address - Phone:305-219-8593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty