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Contact Information

DIAGNOSTIC PORTABLE LAB
21110 BISCAYNE BLVD
STE 206
AVENTURA, FL33180-1227
 Phone: 301-931-7884
 Fax: 305-933-3203
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist Cardiovascular, Sonography

246XS1301X
 

Vascular Specialist

246XC2903X
Indicates primary specialty

NPI Profile & details for DIAGNOSTIC PORTABLE LAB · (Female)

NPI Number 1407840937
Status Active
Credentials
Entity Individual
Enumeration date 09/12/2005
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • FL Other V1034 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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