IDACA LLC NPI 1407258833

NPI Information

NPI: 1407258833
Provider Name: IDACA LLC
Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
49 W 49TH ST
HIALEAH, FL
ZIP 33012
Phone: (305) 557-0330
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IDACA LLC is a radiology and mammography clinic center in Hialeah, FL. IDACA LLC NPI is 1407258833. The provider is registered as an organization entity type.

The provider's business location address is:

49 W 49TH ST
HIALEAH, FL
ZIP 33012-709
Phone: (305) 557-0330
Fax: (305) 556-5133

The provider's authorized official is Jose Rangel .
The authorized official title is Coo and has the following contact phone number (305) 557-0330.

The enumeration date for this NPI number is 9/17/2014 and was last updated on 6/21/2016.

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
1	261QR0206X	Clinic/Center	Radiology, Mammography			Yes

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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