Mirage Medical Llc

LBN: Mirage Medical Llc
Mirage Medical Llc is an health care organization with primary practice located at 10046 N Metro Pkwy W Suite 115, Phoenix AZ 85051-1437. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Mirage Medical Llc can be contacted via phone (602) 674-5515, or through Buckner, Jeremy R via phone (602) 421-2730.

Contact Information

Primary practice address
10046 N Metro Pkwy W Suite 115 Phoenix AZ 85051-1437
Phone: (602) 674-5515
Fax: (602) 674-3029
Website:
Map and Directions
Authorized official contact:
Name: Buckner, Jeremy R Doctor of Chiropractic (DC)
Phone: (602) 421-2730

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 5988 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP4986 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X AP2828 Arizona

Profile Details

NPI number 1609206549
LBN Legal business name Mirage Medical Llc
DBA Doing business as
Authorized official Buckner, Jeremy R Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2013
Last updated Nov 13th, 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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