Provider Demographics
NPI:1609048123
Name:BEST WAY DIAGNOSTIC CENTER INC.
Entity Type:Organization
Organization Name:BEST WAY DIAGNOSTIC CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEOLEO
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:305-819-5868
Mailing Address - Street 1:3750 W 16TH AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4654
Mailing Address - Country:US
Mailing Address - Phone:305-819-5868
Mailing Address - Fax:305-819-5866
Practice Address - Street 1:3750 W 16TH AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4654
Practice Address - Country:US
Practice Address - Phone:305-819-5868
Practice Address - Fax:305-819-5866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center