Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Magnetic Resonance Imaging (MRI) |
261QM1200X | |||
Radiology |
261QR0200X | 74 | Radiation Therapy Center |
| NPI # | 1306937214 |
| LBN Legal business name | AB DIAGNOSTIC CENTER |
| Authorized official | LUIS ACOSTA - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/27/2006 |
| Last updated | 08/21/2007 - About 19 years ago |
| Identifiers | n/a |
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AB DIAGNOSTIC CENTER
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