MED DIAGNOSTIC CENTER INC. NPI 1336197110

NPI Information

  • NPI: 1336197110
  • Provider Name: MED DIAGNOSTIC CENTER, INC.
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Address: 2455 SW 27TH AVE
    SUITE 110
    MIAMI, FL
    ZIP 33145
  • Phone: (305) 858-0808

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NPI Details

MED DIAGNOSTIC CENTER, INC. is a radiology clinic center in Miami, FL. MED DIAGNOSTIC CENTER, INC. NPI is 1336197110. The provider is registered as an organization entity type.

The provider's business location address is:

2455 SW 27TH AVE
SUITE 110
MIAMI, FL
ZIP 33145-663
Phone: (305) 858-0808
Fax: (305) 858-0202

The provider's authorized official is Wendy Rodriguez .
The authorized official title is Owner and has the following contact phone number (305) 858-0808.

The enumeration date for this NPI number is 5/4/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0200XClinic/CenterRadiologyHCC6620FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HCC6620OTHERFLORIDAAHCA LICENSE NUMBER

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: 11/21/2025

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