Diagnostic Professionals INC.

DPI OF PEMBROKE PINES

ADDRESS:

10950 Pines Blvd.
Pembroke Pines, FL 33026

PHONE: 954-

FAX: 954-430-2055

HOURS:

Monday - Friday 8:00am - 5:00pm

SERVICES OFFERED AT

DPI OF PEMBROKE PINES

DPI-modality-icons-mammography

MAMMOGRAM

DPI-modality-icons-dexa

DEXA

DPI-modality-icons-bmi

BMI

A PEEK INSIDE

REQUEST AND APPOINTMENT

PATIENT'S FIRST NAME


PATIENT'S LAST NAME


PATIENT'S DATE OF BIRTH


MOBILE NUMBER*


PHONE


EMAIL


PREFERRED DATE


PREFERRED TIME


REFERRING DOCTOR

IMAGING CENTER LOCATIONS


EXAM TYPE
MRICTNuclearUltrasoundEchoMammographyBone ScanBMI/DEXAX-Rayother

WHAT BODY PART ARE WE SCANNING?


INSURANCE


FORM ATTACHMENT



954-566-4551