Provider Demographics
NPI:1972870038
Name:QUALITY MOBILE DIAGNOSTIC, INC
Entity Type:Organization
Organization Name:QUALITY MOBILE DIAGNOSTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:
Authorized Official - Last Name:OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-303-5778
Mailing Address - Street 1:275 FONTAINEBLEAU BLVD
Mailing Address - Street 2:SUITE 152
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-4591
Mailing Address - Country:US
Mailing Address - Phone:305-222-1977
Mailing Address - Fax:305-222-1978
Practice Address - Street 1:275 FONTAINEBLEAU BLVD
Practice Address - Street 2:SUITE 152
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-4591
Practice Address - Country:US
Practice Address - Phone:305-222-1977
Practice Address - Fax:305-222-1978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile