Provider Demographics
NPI:1457728750
Name:YN DIAGNOSTIC INC.
Entity Type:Organization
Organization Name:YN DIAGNOSTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-310-0808
Mailing Address - Street 1:6054 SW 133RD PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-5170
Mailing Address - Country:US
Mailing Address - Phone:305-310-0808
Mailing Address - Fax:786-391-4047
Practice Address - Street 1:2468 SW 137TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6330
Practice Address - Country:US
Practice Address - Phone:305-310-0808
Practice Address - Fax:786-391-4047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-21
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCRT 86517261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile