Provider Demographics
NPI:1356462147
Name:RAPID DIAGNOSTIC CENTER INC
Entity Type:Organization
Organization Name:RAPID DIAGNOSTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YULEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-262-7613
Mailing Address - Street 1:454 NW 22ND AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-3364
Mailing Address - Country:US
Mailing Address - Phone:305-631-1045
Mailing Address - Fax:305-631-1046
Practice Address - Street 1:454 NW 22ND AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3364
Practice Address - Country:US
Practice Address - Phone:305-631-1045
Practice Address - Fax:305-631-1046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service