Executive Diagnostic Group, Pllc

LBN: Executive Diagnostic Group, Pllc
Executive Diagnostic Group, Pllc is an health care organization with primary practice located at 1711 Monroe St , Dearborn MI 48124-2914. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Executive Diagnostic Group, Pllc can be contacted via phone (313) 359-9361, or through Jorge, Luis C via phone (313) 359-9361.

Contact Information

Primary practice address
1711 Monroe St Dearborn MI 48124-2914
Phone: (313) 359-9361
Fax: (313) 436-1767
Website:
Map and Directions
Authorized official contact:
Name: Jorge, Luis C Doctor of Medicine (MD)
Phone: (313) 359-9361

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 4301038699 Michigan

Profile Details

NPI number 1881955953
LBN Legal business name Executive Diagnostic Group, Pllc
DBA Doing business as
Authorized official Jorge, Luis C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2012
Last updated Sep 18th, 2014 - about 10 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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