Provider Demographics
NPI:1083967038
Name:INSTITUTE OF DIAGNOSTIC STUDIES INC
Entity Type:Organization
Organization Name:INSTITUTE OF DIAGNOSTIC STUDIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-559-9898
Mailing Address - Street 1:14740 SW 26TH ST
Mailing Address - Street 2:14740 SW 26TH STREET SUITE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5830
Mailing Address - Country:US
Mailing Address - Phone:305-559-9898
Mailing Address - Fax:305-559-9494
Practice Address - Street 1:14740 SW 26TH ST
Practice Address - Street 2:14740 SW 26TH ST
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-5830
Practice Address - Country:US
Practice Address - Phone:305-559-9898
Practice Address - Fax:305-559-9494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography