Pax Lumena Pediatrics Pllc

LBN: Crossroads Pediatrics Pllc
Pax Lumena Pediatrics Pllc is an health care organization with primary practice located at 655 S. Dobson Rd. Suite B-218, Chandler AZ 85224-5671. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Crossroads Pediatrics Pllc can be contacted via phone (480) 722-1180, or through Madrid, Edward J. via phone (480) 722-1180.

Contact Information

Primary practice address
655 S. Dobson Rd. Suite B-218 Chandler AZ 85224-5671
Fax: (480) 722-1187
Website:
Authorized official contact:
Name: Madrid, Edward J. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16602 Arizona

Profile Details

NPI number 1083606529
LBN Legal business name Crossroads Pediatrics Pllc
DBA Doing business as Pax Lumena Pediatrics Pllc
Authorized official Madrid, Edward J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2005
Last updated Oct 22nd, 2014 - about 11 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 1083606529 NPPES
Arizona MEDICAID 247454001

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