Northwest Diagnostic Clinic

LBN: M Ds Cyber Clinic Pa
Northwest Diagnostic Clinic is an health care organization with primary practice located at 500 W Whitestone Blvd Suite 100, Cedar Park TX 78613-2245. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. M Ds Cyber Clinic Pa can be contacted via phone (512) 250-3900, or through Bogdanovich, Michael Bruce via phone (512) 250-3900.

Contact Information

Primary practice address
500 W Whitestone Blvd Suite 100 Cedar Park TX 78613-2245
Phone: (512) 250-3900
Fax: (512) 249-6232
Website:
Map and Directions
Authorized official contact:
Name: Bogdanovich, Michael Bruce Doctor of Medicine (MD)
Phone: (512) 250-3900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X H6779 Texas

Profile Details

NPI number 1780612390
LBN Legal business name M Ds Cyber Clinic Pa
DBA Doing business as Northwest Diagnostic Clinic
Authorized official Bogdanovich, Michael Bruce Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2006
Last updated Jan 4th, 2013 - about 12 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 1780612390 NPPES
Texas Other 00769N MEDICARE PTAN

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