Leading Healthcare Clinic Of Goodyear Llc

LBN: Leading Healthcare Clinic Of Goodyear Llc
Leading Healthcare Clinic Of Goodyear Llc is an health care organization with primary practice located at 13555 W Mcdowell Rd Ste 205 , Goodyear AZ 85395-2626. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Leading Healthcare Clinic Of Goodyear Llc can be contacted via phone (623) 295-1190, or through Nasser, Mohammad via phone (313) 485-5680.

Contact Information

Primary practice address
13555 W Mcdowell Rd Ste 205 Goodyear AZ 85395-2626
Phone: (623) 295-1190
Fax: (602) 429-8595
Website:
Map and Directions
Authorized official contact:
Name: Nasser, Mohammad
Phone: (313) 485-5680

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1902448566
LBN Legal business name Leading Healthcare Clinic Of Goodyear Llc
DBA Doing business as
Authorized official Nasser, Mohammad
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2019
Last updated Mar 28th, 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 1902448566 NPPES
Arizona MEDICAID 005817

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