Provider Demographics
NPI:1477696524
Name:ACCURAD MOBILE DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:ACCURAD MOBILE DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:CARIAGA
Authorized Official - Suffix:
Authorized Official - Credentials:RTR RADIOLOGY TECHNO
Authorized Official - Phone:954-483-7346
Mailing Address - Street 1:2640 NE 135TH STREET
Mailing Address - Street 2:SUITE 403
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181
Mailing Address - Country:US
Mailing Address - Phone:954-483-7346
Mailing Address - Fax:305-945-9257
Practice Address - Street 1:2640 NE 135TH STREET
Practice Address - Street 2:SUITE 403
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181
Practice Address - Country:US
Practice Address - Phone:954-483-7346
Practice Address - Fax:305-945-9257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLJR4219400261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherEIN IRS