Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiology, Mobile Mammography |
261QR0207X | 45 | Mammography Center |
| NPI Number | 1134554009 |
| LBN Legal business name | CORAL WAY DIAGNOSTIC SERVICES |
| Authorized official | ALFREDO RAMALLO - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/10/2013 |
| Last updated | 09/10/2013 - About 13 years ago |
| Identifiers | n/a |
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CORAL WAY DIAGNOSTIC SERVICES
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