Grace Breast Imaging & Medical Spa Pllc

LBN: Grace Breast Imaging & Medical Spa Pllc
Grace Breast Imaging & Medical Spa Pllc is an health care organization with primary practice located at 1250 Nw 128Th St Ste 130 , Clive IA 50325-7433. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Radiology, Mammography. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. Grace Breast Imaging & Medical Spa Pllc can be contacted via phone (515) 505-3224, or through Lamphiear, Andrea via phone (515) 505-3224.

Contact Information

Primary practice address
1250 Nw 128Th St Ste 130 Clive IA 50325-7433
Phone: (515) 505-3224
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lamphiear, Andrea
Phone: (515) 505-3224

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X

Profile Details

NPI number 1568203487
LBN Legal business name Grace Breast Imaging & Medical Spa Pllc
DBA Doing business as
Authorized official Lamphiear, Andrea
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2024
Last updated Jun 5th, 2024 - about 5 months 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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