Organization Active NPI

Logic Diagnostics Inc

  • Mobile Radiology Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1003229022
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
LOGIC DIAGNOSTICS INC
Practice address
18501 Pines Blvd
Ste 205B
Pembroke Pines, FL 33029-1414
Phone
(954) 278-9088
Fax
(954) 607-5825
NPI assigned
Jun 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Nicolas Giacaman Salgado
Title
Vice President
Phone
(954) 278-9088

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Mobile Radiology Clinic/Center 261QR0208X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

18501 Pines Blvd
Ste 205B
Pembroke Pines, FL 33029-1414

Mailing address

PO Box 820636
Pembroke Pines, FL 33082-0636
Phone (954) 278-9088

National Provider Directory

National Provider Directory

Locations

3330 2nd Ave N
Ste 12
Palm Springs, FL 33461
Phone (954) 278-9088

18501 Pines Blvd
Ste 205B
Pembroke Pines, FL 33029
Phone (954) 278-9088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1003229022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820636",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330820636",
            "telephone_number": "954-278-9088",
            "fax_number": "954-607-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18501 PINES BLVD",
            "address_2": "STE 205B",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291414",
            "telephone_number": "954-278-9088",
            "fax_number": "954-607-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGIC DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "GIACAMAN SALGADO",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-278-9088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.