Concordia Star Medical Llc

LBN: Concordia Star Medical Llc
Concordia Star Medical Llc is an health care organization with primary practice located at 118 7Th Ave Sw Suite A, Puyallup WA 98371-6803. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Concordia Star Medical Llc can be contacted via phone (253) 579-0067, or through Arana-Domondon, Ladie C via phone (253) 579-0067.

Contact Information

Primary practice address
118 7Th Ave Sw Suite A Puyallup WA 98371-6803
Phone: (253) 579-0067
Fax: (253) 579-0068
Website:
Map and Directions
Authorized official contact:
Name: Arana-Domondon, Ladie C Doctor of Medicine (MD)
Phone: (253) 579-0067

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1790163491
LBN Legal business name Concordia Star Medical Llc
DBA Doing business as
Authorized official Arana-Domondon, Ladie C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2015
Last updated May 13th, 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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