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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

NPI Number 1407840937
LBN Legal business name DIAGNOSTIC PORTABLE LAB
Authorized official ENRIQUE HANABERGH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/12/2005
Last updated 09/11/2025 - About 9 months ago
Identifiers
FL Other V1034 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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