Provider Demographics
NPI:1851723399
Name:UNLIMITED DIAGNOSTIC CENTER INC
Entity Type:Organization
Organization Name:UNLIMITED DIAGNOSTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-431-5876
Mailing Address - Street 1:2360 W 68TH ST
Mailing Address - Street 2:SUITE 128
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5514
Mailing Address - Country:US
Mailing Address - Phone:786-431-5876
Mailing Address - Fax:786-431-5704
Practice Address - Street 1:2360 W 68TH ST
Practice Address - Street 2:SUITE 128
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5514
Practice Address - Country:US
Practice Address - Phone:786-431-5876
Practice Address - Fax:786-431-5704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-07
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2471M1202X
261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty