Star Diagnostic Treatment And Ambulatary Services

Clinic/Center

Ambulatory Health Care Facilities

PECOS Enrollment

Based on the most recent information from CMS, provider Star Diagnostic Treatment And Ambulatary Services does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 4:18 PM.

Profile Details

Provider ID
1134375686
Provider Type
Organization
Full Name
Star Diagnostic Treatment And Ambulatary Services

Subpart
No
Enumeration Date
8/15/2008
Last Updated
8/15/2008

Contact Information

Practice Location

1840 W 49st, 311 B, Hialeah, FL 33012

(305) 818-0600

(305) 818-0620

Mailing Location

1840 W 49th St, 311 B, Hialeah, FL 33012-2942

(305) 818-0600

(305) 818-0062

Authorized Official

Amado, Gerald (Vice President)

(305) 818-0600

Provider Taxonomies

Code	Description	License
Code 261Q00000X Primary	Description Clinic/Center Ambulatory Health Care Facilities	License HCC5605 Florida

Star Diagnostic Treatment And Ambulatary Services

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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