Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diagnostic Portable Lab

Organization Vascular Specialist/Technologist Cardiovascular · NPI 1407840937

Diagnostic Portable Lab is a Vascular Specialist/Technologist Cardiovascular in Aventura, Florida. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
2
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Practice location Address checks out

21110 Biscayne Blvd Ste 206
Aventura, FL 33180-1227
Phone: (301) 931-7884
Fax: (305) 933-3203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sonography Specialist/Technologist Cardiovascular (primary) Taxonomy 246XS1301X
Vascular Specialist/Technologist Cardiovascular Taxonomy 246XC2903X

Record details

NPI number1407840937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Enrique Hanabergh — President · (305) 931-7884
NPI enumeratedSeptember 12, 2005
Last updated in NPPESSeptember 11, 2025
Mailing address21110 Biscayne Blvd, Ste 206, Aventura, FL 33180-1227