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 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Anesthesiology, 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 / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ||
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1457686784 |
|---|---|
| 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 | Oct 5th, 2009 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457686784 | NPPES |
| Florida | MEDICAID | 260094300 |
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