LG DIAGNOSTIC CENTER INC (NPI# 1205164902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205164902 |
| Entity Type | Organization |
| Organization Name | LG DIAGNOSTIC CENTER INC |
| Practice Address |
4155 Sw 130th Ave Ste 211 Miami FL 33175-3414 |
| Mailing Address |
4155 Sw 130 Av Ste 211 Miami FL 33175-3417 |
| Practice Telephone | 3052272278 |
| Practice Fax Number | 3052272273 |
| Mailing Telephone | 3052272278 |
| Mailing Fax Number | 3052272273 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2010-04-12 |
| Authorized Official Name | MR. LAZARO MOREIRA (PRESIDENT) |
| Authorized Official Telephone | 3055088408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| Street Address |
4155 SW 130TH AVE STE 211 |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053338079 | Paradise Home Health, Inc. | Home Health | 4155 Sw 130th Ave, Ste. # 114, Miami, FL 33175-3414 | 2006-07-16 |
| 1952853467 | Esneido Almeida Gutierrez | Nurse Practitioner | 4155 Sw 130th Ave, Miami, FL 33175-3414 | 2016-10-31 |
| 1427508654 | Inter Home Health Services Inc | Home Health | 4155 Sw 130th Ave, Suite #114, Miami, FL 33175-3414 | 2016-10-12 |
| 1790168920 | Maikel Danger | General Practice | 4155 Sw 130th Ave, Miami, FL 33175-3414 | 2015-07-07 |
| 1952670317 | Good Hands Medical Center | Rehabilitation Unit | 4155 Sw 130th Ave, 205, Miami, FL 33175-3414 | 2011-12-14 |
| 1790064392 | Interamerican Medical Center Group LLC | Family Medicine | 4155 Sw 130th Ave, 201, Miami, FL 33175-3414 | 2011-08-12 |
| 1659609410 | Ines Rodriguez | Nurse Practitioner | 4155 Sw 130th Ave, Suite 201, Miami, FL 33175-3414 | 2009-12-05 |
| 1932347036 | Jose A Esnard Md Pa | Clinic/Center | 4155 Sw 130th Ave, Ste 102, Miami, FL 33175-3414 | 2009-01-27 |
| 1235375882 | M & N Professional Services Home Health Care Inc. | Home Health | 4155 Sw 130th Ave, Ste. 114, Miami, FL 33175-3414 | 2009-01-05 |
| 1811142953 | Professional Home Health Care, Inc. | Home Health | 4155 Sw 130th Ave, Suite 212, Miami, FL 33175-3414 | 2008-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164078937 | Des Mobile Diagnostics Imaging Inc | Clinic/Center | 10820 W Old Cutler Rd, Miami, FL 33170-6551 | 2019-08-16 |
| 1770066359 | S&s Life Scan Corp | Clinic/Center | 1118 Nw 124th Ct # 1118, Miami, FL 33182-2447 | 2018-09-10 |
| 1922537489 | Portable Ultrasound Services Inc | Clinic/Center | 11021 Sw 44 Street, Miami, FL 33165 | 2017-06-08 |
| 1003343740 | Qualis Diagnostics LLC | Clinic/Center | 1900 N Bayshore Dr Ste 1a162, Miami, FL 33132-3001 | 2017-05-12 |
| 1275998254 | Ultrasound Imaging Services, Inc | Clinic/Center | 11803 Sw 14th St, Miami, FL 33184-2514 | 2015-12-17 |
| 1700269784 | Imaging Nation Diagnostics Corp | Clinic/Center | 1250 Sw 27th Ave Ste 303, Miami, FL 33135-4749 | 2015-07-08 |
| 1548668908 | Md Diagnostic Services LLC | Clinic/Center | 7405 Sw 148th Ct, Miami, FL 33193-1144 | 2014-12-16 |
| 1689924771 | Prime Medical Diagnostics Inc | Clinic/Center | 6850 Coral Way Ste 200, Miami, FL 33155-1758 | 2012-09-15 |
| 1780959650 | Hammocks Trauma Center, Inc | Clinic/Center | 175 Fontainebleau Blvd Ste 1c, Miami, FL 33172-7012 | 2012-03-12 |
| 1144535600 | Think & Grow LLC | Clinic/Center | 888 Biscayne Blvd, Suite 2306, Miami, FL 33132-1550 | 2010-08-09 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.