Interdisciplinary Diagnostic And Evaluation Center, Inc.

LBN: Interdisciplinary Diagnostic And Evaluation Center, Inc.
Interdisciplinary Diagnostic And Evaluation Center, Inc. is an health care organization with primary practice located at 3030 Lake Ave Suite 7, Fort Wayne IN 46805-5428. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Interdisciplinary Diagnostic And Evaluation Center, Inc. can be contacted via phone (260) 422-2838, or through Nathan, Marilyn via phone (765) 284-9573.

Contact Information

Primary practice address
3030 Lake Ave Suite 7 Fort Wayne IN 46805-5428
Phone: (260) 422-2838
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nathan, Marilyn PH.D.
Phone: (765) 284-9573

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1093938102
LBN Legal business name Interdisciplinary Diagnostic And Evaluation Center, Inc.
DBA Doing business as
Authorized official Nathan, Marilyn PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Jun 17th, 2008 - about 16 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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