| Medx Diagnostic Service | |
|
4707 140th Ave N Suite 107 Clearwater FL 33762-3834 | |
| (727) 942-1465 | |
| Not Available |
| Full Name | Medx Diagnostic Service |
|---|---|
| Speciality | Clinic/center |
| Location | 4707 140th Ave N, Clearwater, Florida |
| Authorized Official Name and Position | John F Egan (MANAGEER) |
| Authorized Official Contact | 7279421465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medx Diagnostic Service 4707 140th Ave N Suite 107 Clearwater FL 33762-3834 Ph: (727) 942-1465 | Medx Diagnostic Service 4707 140th Ave N Suite 107 Clearwater FL 33762-3834 Ph: (727) 942-1465 |
| NPI Number | 1790982866 |
|---|---|
| Provider Enumeration Date | 07/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790982866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5115 (Florida) | Primary |
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