Provider Demographics
NPI:1689924771
Name:PRIME MEDICAL DIAGNOSTICS INC
Entity Type:Organization
Organization Name:PRIME MEDICAL DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA GUARDIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-666-6050
Mailing Address - Street 1:6850 CORAL WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1758
Mailing Address - Country:US
Mailing Address - Phone:305-666-6050
Mailing Address - Fax:305-408-8592
Practice Address - Street 1:6850 CORAL WAY STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1758
Practice Address - Country:US
Practice Address - Phone:305-666-6050
Practice Address - Fax:305-408-8592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-15
Last Update Date:2012-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile