Provider Demographics
NPI:1467929984
Name:HIVE DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:HIVE DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:GUILLAUME
Authorized Official - Middle Name:J
Authorized Official - Last Name:PINGUET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-704-1373
Mailing Address - Street 1:52 NW 47TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-2408
Mailing Address - Country:US
Mailing Address - Phone:786-704-1373
Mailing Address - Fax:305-357-5675
Practice Address - Street 1:4760 AUSTELL RD STE A
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-2007
Practice Address - Country:US
Practice Address - Phone:786-704-1373
Practice Address - Fax:305-357-5675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier