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Organization

Midway Ultrasound Diagnostic Services

Radiology Clinic/Center in Port St Lucie, FL(View on Map)

Legal Business Name

Midway Ultrasound Diagnostic Services

NPI Number

1689127201

NPI Type

Organization

Enumeration Date

07/31/2016

Specialties

(Taxonomies)

Name

Radiology Clinic/Center

Code

261QR0200X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

42861

Contact
Information

Purpose

Mailing
Location

Address

1801 SE HILLMOOR DR
1801 SE HILLMOOR DR

City

Port St Lucie
Port St Lucie

State

FL
FL

Postal Code

34952-7553
34952-7553

Country

US
US

Telephone Number

(678) 994-5407
(678) 994-5407

Authorized Official

Name

Edward Crooks

Title or Position

OWNET

Telephone Number

(678) 994-5407

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/31/2016

Provider Address

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