Provider Demographics
NPI:1447843750
Name:PRO DIAMETRICS CORP
Entity type:Organization
Organization Name:PRO DIAMETRICS CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED PERSON
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MKHITARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-697-1828
Mailing Address - Street 1:9627 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2804
Mailing Address - Country:US
Mailing Address - Phone:305-532-0005
Mailing Address - Fax:305-406-9403
Practice Address - Street 1:9627 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-2804
Practice Address - Country:US
Practice Address - Phone:305-532-0005
Practice Address - Fax:305-406-9403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory