Bsa Amarillo Diagnostic Clinic Inc

LBN: Bsa Amarillo Diagnostic Clinic Inc
Bsa Amarillo Diagnostic Clinic Inc is an health care organization with primary practice located at 6700 W 9Th Ave , Amarillo TX 79106-1701. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Bsa Amarillo Diagnostic Clinic Inc can be contacted via phone (806) 358-0200, or through Petrovich, Stephen C via phone (615) 296-3000.

Contact Information

Primary practice address
6700 W 9Th Ave Amarillo TX 79106-1701
Phone: (806) 358-0200
Fax: (806) 356-5590
Website:
Map and Directions
Authorized official contact:
Name: Petrovich, Stephen C
Phone: (615) 296-3000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1134559826
LBN Legal business name Bsa Amarillo Diagnostic Clinic Inc
DBA Doing business as
Authorized official Petrovich, Stephen C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2013
Last updated Oct 19th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134559826 NPPES
Texas MEDICAID 339696201

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