LG DIAGNOSTIC, INC
Restorative Service Providers at 57 Ave, Miami, FL

License number
Florida PT15233
Category
Restorative Service Providers
Type
Physical Therapist
License number
Florida OT4229
Category
Restorative Service Providers
Type
Physical Rehabilitation
Owner
Name: ADRIANA LOPEZ
Title: TREASURE
Phone: (305) 267-4414
Address
Address
815 NW 57Th Ave STE 125, Miami, FL 33126
National Provider ID: 1831534569
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Lg Diagnostic, Inc

Hialeah, FL  -  Miami, FL

Status:
Inactive
Industry:
Whol Medical/Hospital Equipment, Health/Allied Services, Nonclassifiable Establishments
Inactive reason:
AMENDMENT
Registration:
Sep 3, 2003
Inactive since:
May 18, 2011
Addresses:
689 E 9 St, Hialeah, FL 33010
689 691 East 9, Hialeah, FL 33010
815 NW 57 Ave, Miami, FL 33126
691 E 9 St, Hialeah, FL 33010
State ID:
P03000096133
Business type:
Florida Profit Corporation
Secretary, Presidents:
Adriana Lopez (Vice President),Eduardo Guerra President, Principal, inactive,Alejandro Lopez Secretary, President, inactive
Agent:
Banos,Garcia & Associates,P.a,8220 Coral Way, Miami, FL 33155 (Physical)
EIN:
651202868
Categories:
Physicians & Surgeons, X-Ray Laboratories Industrial

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