Diagnostic Portable Lab
LBN: Diagnostic Portable Lab
Diagnostic Portable Lab is an health care organization with primary practice located at 21110 Biscayne Blvd Ste 206, Aventura FL 33180-1227. The organization recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Vascular Specialist, Technologists, Technicians & Other Technical Service Providers / Sonography. Technologists, Technicians & Other Technical Service Providers / Vascular Specialist is the primary health care specialty.
Diagnostic Portable Lab can be contacted via phone (301) 931-7884, or through Hanabergh, Enrique via phone (305) 931-7884.
Contact Information
Primary practice address
21110 Biscayne Blvd Ste 206
Aventura FL 33180-1227
Phone: (301) 931-7884
Fax: (305) 933-3203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Vascular Specialist | 246XC2903X | ||
| Technologists, Technicians & Other Technical Service Providers / Sonography | 246XS1301X |
Profile Details
| NPI number | 1407840937 |
|---|---|
| LBN Legal business name | Diagnostic Portable Lab |
| DBA Doing business as | |
| Authorized official | Hanabergh, Enrique Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407840937 | NPPES |
| Florida | Other | V1034 | BCBS |
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