LG Diagnostic Center Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

LG DIAGNOSTIC CENTER INC

Practice address

4155 SW 130TH Ave
Ste 211
Miami, FL 33175-3414

Phone

(305) 227-2278

Fax

(305) 227-2273

NPI assigned

Nov 18, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Lazaro Moreira

Title

President

Phone

(305) 508-8408

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1205164902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 SW 130 AV",
            "address_2": "STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753417",
            "telephone_number": "305-227-2278",
            "fax_number": "305-227-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 SW 130TH AVE",
            "address_2": "STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753414",
            "telephone_number": "305-227-2278",
            "fax_number": "305-227-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LG DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "MOREIRA",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-508-8408",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• LGF Dentist, Inc
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• Mobile Radiology Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Mobile Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.