Provider Demographics
NPI:1659399574
Name:ALL X RAY DIAGNOSTIC SERVICES CORP
Entity Type:Organization
Organization Name:ALL X RAY DIAGNOSTIC SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SABINO
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRO FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-445-9462
Mailing Address - Street 1:4210 NW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5427
Mailing Address - Country:US
Mailing Address - Phone:305-445-9462
Mailing Address - Fax:305-445-9128
Practice Address - Street 1:4210 NW 4TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5427
Practice Address - Country:US
Practice Address - Phone:305-445-9462
Practice Address - Fax:305-445-9128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6652261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU7406Medicare ID - Type UnspecifiedIDTF