Diagnostic Clinic

LBN: Diagnostic Clinic Medical Group Inc.
Diagnostic Clinic is an health care organization with primary practice located at 1301 2Nd Ave Sw , Largo FL 33770-3120. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is the primary health care specialty. Diagnostic Clinic Medical Group Inc. can be contacted via phone (727) 581-8767, or through Prebeck, Gina Marie 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 Marie
Phone: (727) 581-8767

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Florida
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X Florida
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X Florida
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Florida
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X Florida
Allopathic & Osteopathic Physicians / Urology 208800000X Florida

Profile Details

NPI number 1407851314
LBN Legal business name Diagnostic Clinic Medical Group Inc.
DBA Doing business as Diagnostic Clinic
Authorized official Prebeck, Gina Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 21st, 2022 - 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 1407851314 NPPES
Florida MEDICAID 260094304
Florida MEDICAID 260094300

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