Provider Demographics
NPI:1871739102
Name:GABLES DIAGNOSTIC CENTER INC
Entity type:Organization
Organization Name:GABLES DIAGNOSTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:OHOLLEARN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:305-774-9001
Mailing Address - Street 1:5450 SW 8TH STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134
Mailing Address - Country:US
Mailing Address - Phone:305-774-9001
Mailing Address - Fax:786-953-4968
Practice Address - Street 1:5450 SW 8TH STREET
Practice Address - Street 2:SUITE 202 GABLES DIAGNOSTIC CENTER
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134
Practice Address - Country:US
Practice Address - Phone:305-774-9001
Practice Address - Fax:786-953-4968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7219261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology