Organization · Type 2 NPI

Prudential Diagnostic Center Corp.

Health Service Clinic/Center · Hialeah, FL

NPI number 1255573002 Active

Practice location

900 W 49th St, 308
Hialeah, FL 33012-3402

Call (305) 827-9140 Map

Fax (305) 827-9143

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100XHCC7306 (FL)

Health Service Clinic/Center: Definition to come...

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About NPI 1255573002

Prudential Diagnostic Center Corp.'s National Provider Identifier is 1255573002, issued on Mar 25, 2009. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Hialeah, FL. The record was last updated on Apr 29, 2009.