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 7005 4Th St N , Saint Petersburg FL 33702-5909. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Diagnostic Clinic Medical Group Inc can be contacted via phone (727) 501-7300, or through Prebeck, Gina Marie via phone (727) 559-9461.

Contact Information

Primary practice address
7005 4Th St N Saint Petersburg FL 33702-5909
Phone: (727) 501-7300
Fax: (727) 501-7360
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
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1356939284
LBN Legal business name Diagnostic Clinic Medical Group Inc
DBA Doing business as
Authorized official Prebeck, Gina Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2021
Last updated Jan 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356939284 NPPES
Florida Other 00036 FLORIDA BLUE

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