Provider Demographics
NPI:1497785380
Name:B & R DIAGNOSTICS
Entity Type:Organization
Organization Name:B & R DIAGNOSTICS
Other - Org Name:DADELAND NUCLEAR IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOISES
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-670-7771
Mailing Address - Street 1:9035 SW 72ND ST STE 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3451
Mailing Address - Country:US
Mailing Address - Phone:305-670-7771
Mailing Address - Fax:305-670-7750
Practice Address - Street 1:9035 SW 72ND ST STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3451
Practice Address - Country:US
Practice Address - Phone:305-670-7771
Practice Address - Fax:305-670-7750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE4630Medicare ID - Type Unspecified