OrganizationActive
Executive Diagnostic Center
NPI 1609156231 · Radiology Clinic/Center · Doral, FL
Provider details
- NPI number
- 1609156231
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Leidy Diaz, President(305) 994-7343
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5211 Nw 79th Ave
Doral, FL 33166-4715
Phone: (305) 994-7343
Fax: (305) 994-7346
Street-level locationGet directions
Mailing address
5211 Nw 79th Ave
Doral, FL 33166-4715
Registry dates
- Enumerated
- 2011-08-26
- Last updated
- 2011-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.