Provider Demographics
NPI:1154335743
Name:HIALEAH DIAGNOSTICS INC
Entity type:Organization
Organization Name:HIALEAH DIAGNOSTICS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JEFF
Authorized Official - Last Name:SCHMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-823-1808
Mailing Address - Street 1:1991 W 60TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7504
Mailing Address - Country:US
Mailing Address - Phone:305-823-1808
Mailing Address - Fax:305-821-7186
Practice Address - Street 1:1991 W 60TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7504
Practice Address - Country:US
Practice Address - Phone:305-823-1808
Practice Address - Fax:305-821-7186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL72966Medicare ID - Type UnspecifiedGROUP NUMBER