Organization Active NPI

Stat Diagnostic Services Inc

  • Mobile Radiology Clinic/Center
  • Miami, FL
National Provider Identifier
1770684649
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
W9942 Issued in FL
Legal business name
STAT DIAGNOSTIC SERVICES INC
Practice address
8100 W Flagler St
Suite 200
Miami, FL 33144-2155
Phone
(305) 265-4454
Fax
(305) 265-4464
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Bernardino P Enriquez, GENERAL RADIOGRAPHER
Title
President
Phone
(305) 265-4454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X W9942 FL Primary

Addresses

Primary practice location

8100 W Flagler St
Suite 200
Miami, FL 33144-2155

Mailing address

8100 W Flagler St
Suite 200
Miami, FL 33144-2155
Phone (305) 265-4454

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1770684649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 W FLAGLER ST",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442155",
            "telephone_number": "305-265-4454",
            "fax_number": "305-265-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 W FLAGLER ST",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442155",
            "telephone_number": "305-265-4454",
            "fax_number": "305-265-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT DIAGNOSTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "BERNARDINO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-265-4454",
        "authorized_official_credential": "GENERAL RADIOGRAPHER"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "FL",
            "license": "W9942",
            "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 Sep 15, 2008; 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.