Diagnostic Clinic Medical Group Inc

LBN: Diagnostic Clinic Medical Group Inc
Diagnostic Clinic Medical Group Inc is an health care organization with primary practice located at 6735 Crosswinds Dr N , Saint Petersburg FL 33710-5471. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Diagnostic Clinic Medical Group Inc can be contacted via phone (727) 548-8500, or through Prebeck, Gina Marie via phone (727) 559-9461.

Contact Information

Primary practice address
6735 Crosswinds Dr N Saint Petersburg FL 33710-5471
Phone: (727) 548-8500
Fax: (727) 501-7328
Website:
Map and Directions
Authorized official contact:
Name: Prebeck, Gina Marie
Phone: (727) 559-9461

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1124690433
LBN Legal business name Diagnostic Clinic Medical Group Inc
DBA Doing business as
Authorized official Prebeck, Gina Marie
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 15th, 2021
Last updated Jul 15th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124690433 NPPES
Florida Other 00036 FLORIDA BLUE

Popular Providers