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CALIFORNIA CLUB DIAGNOSTIC CENTER LLC. NPI 1275664336


NPI Information

NPI: 1275664336
Provider Name: CALIFORNIA CLUB DIAGNOSTIC CENTER, LLC.
Classification: Technician, Other - 247200000X
Entity Type: Organization
Address:
850 IVES DAIRY RD
SUITE # 14
NORTH MIAMI BEACH, FL
ZIP 33179
Phone: (305) 405-0365
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CALIFORNIA CLUB DIAGNOSTIC CENTER, LLC. is a technician other in North Miami Beach, FL. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. CALIFORNIA CLUB DIAGNOSTIC CENTER, LLC. NPI is 1275664336. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

850 IVES DAIRY RD
SUITE # 14
NORTH MIAMI BEACH, FL
ZIP 33179-450
Phone: (305) 405-0365
Fax: (305) 405-0370

The provider's authorized official is Alexander Baranov .
The authorized official title is Manager and has the following contact phone number (305) 405-0365.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1247200000XTechnician, OtherYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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