Diagnostic Professionals INC.

DPI OF PLANTATION

ADDRESS:

7301 NW 4th Street, Suite 107
Plantation, FL 33317

PHONE: 954-566-4551

FAX: 954-449-7027

HOURS:

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

SERVICES OFFERED AT

DPI OF PLANTATION

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