Black Diamond Medical Llc

LBN: Black Diamond Medical Llc
Black Diamond Medical Llc is an health care organization with primary practice located at 20449 N Lake Pleasant Rd Ste 101 , Peoria AZ 85382-2707. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Urgent Care, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty. Black Diamond Medical Llc can be contacted via phone (623) 322-0099, or through Graham, Tonia Lanette via phone (623) 322-0099.

Contact Information

Primary practice address
20449 N Lake Pleasant Rd Ste 101 Peoria AZ 85382-2707
Phone: (623) 322-0099
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Graham, Tonia Lanette
Phone: (623) 322-0099

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1639644909
LBN Legal business name Black Diamond Medical Llc
DBA Doing business as
Authorized official Graham, Tonia Lanette
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2018
Last updated Mar 6th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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