Provider Demographics
NPI:1588927156
Name:ALL X RAY DIAGNOSTIC SERVICES CORP
Entity type:Organization
Organization Name:ALL X RAY DIAGNOSTIC SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SABINO
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRO FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:561-318-5494
Mailing Address - Street 1:1800 FOREST HILL BLVD
Mailing Address - Street 2:A-1-2
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406
Mailing Address - Country:US
Mailing Address - Phone:561-318-5494
Mailing Address - Fax:561-318-5479
Practice Address - Street 1:1800 FOREST HILL BLVD
Practice Address - Street 2:A-1-2
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406
Practice Address - Country:US
Practice Address - Phone:561-318-5494
Practice Address - Fax:561-318-5479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC9131261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology