Organization Active NPI

Medical Diagnostic Corp

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1710092606
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MEDICAL DIAGNOSTIC CORP
Practice address
6955 NW 77TH Ave
Suite 402
Miami, FL 33166-2852
Phone
(305) 883-4300
Fax
(305) 883-9996
NPI assigned
Aug 20, 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
Duniesky Escandell
Title
President
Phone
(305) 883-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

6955 NW 77TH Ave
Suite 402
Miami, FL 33166-2852

Mailing address

6955 NW 77TH Ave
Suite 402
Miami, FL 33166-2852
Phone (305) 883-4300

National Provider Directory

National Provider Directory

Locations

6955 NW 77th Ave
Ste 402
Miami, FL 33166
Phone (305) 203-5245

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710092606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 NW 77TH AVE",
            "address_2": "SUITE 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662852",
            "telephone_number": "305-883-4300",
            "fax_number": "305-883-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 NW 77TH AVE",
            "address_2": "SUITE 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662852",
            "telephone_number": "305-883-4300",
            "fax_number": "305-883-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESCANDELL",
        "authorized_official_first_name": "DUNIESKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-883-4300"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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.