Provider Demographics
NPI:1336231513
Name:HEALTH DIAGNOSTICS OF MIAMI LLC
Entity Type:Organization
Organization Name:HEALTH DIAGNOSTICS OF MIAMI LLC
Other - Org Name:STAND-UP MRI OF MIAMI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMADIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-694-2816
Mailing Address - Street 1:1661 SW 37TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-1778
Mailing Address - Country:US
Mailing Address - Phone:305-461-6005
Mailing Address - Fax:305-461-8662
Practice Address - Street 1:1661 SW 37TH AVE
Practice Address - Street 2:SUITE100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-1754
Practice Address - Country:US
Practice Address - Phone:305-461-6005
Practice Address - Fax:305-461-8662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4412Medicare PIN