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 1301 2Nd Ave Sw , Largo FL 33770-3120. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Diagnostic Clinic Medical Group Inc. can be contacted via phone (727) 581-8767, or through Prebeck, Gina M via phone (727) 581-8767.

Contact Information

Primary practice address
1301 2Nd Ave Sw Largo FL 33770-3120
Phone: (727) 581-8767
Fax: (727) 581-8507
Website:
Map and Directions
Authorized official contact:
Name: Prebeck, Gina M
Phone: (727) 581-8767

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 10D2079095 Florida

Profile Details

NPI number 1154474245
LBN Legal business name Diagnostic Clinic Medical Group Inc.
DBA Doing business as
Authorized official Prebeck, Gina M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Nov 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154474245 NPPES
Florida Other L8189 MEDICARE LAB ID#

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