NPIMap

Organization Active NPI

Med Diagnostic Center, Inc.

  • Radiology Clinic/Center
  • Miami, FL
National Provider Identifier
1336197110
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
HCC6620 Issued in FL
Legal business name
MED DIAGNOSTIC CENTER, INC.
Practice address
2455 SW 27TH Ave
Suite 110
Miami, FL 33145-3663
Phone
(305) 858-0808
Fax
(305) 858-0202
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Wendy Rodriguez
Title
Owner
Phone
(305) 858-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X HCC6620 FL Primary

Addresses

Primary practice location

2455 SW 27TH Ave
Suite 110
Miami, FL 33145-3663

Mailing address

2455 SW 27TH Ave
Suite 110
Miami, FL 33145-3663
Phone (305) 858-0808

Other identifiers 1

IdentifierTypeStateIssuer
HCC6620OtherFLAHCA LICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336197110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 SW 27TH AVE",
            "address_2": "SUITE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453663",
            "telephone_number": "305-858-0808",
            "fax_number": "305-858-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 SW 27TH AVE",
            "address_2": "SUITE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453663",
            "telephone_number": "305-858-0808",
            "fax_number": "305-858-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED DIAGNOSTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-858-0808",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC6620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE NUMBER",
            "identifier": "HCC6620",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.