Baseline Distributing, Llc

LBN: Baseline Distributing, Llc
Baseline Distributing, Llc is an health care organization with primary practice located at 920 E Harwell Rd , Phoenix AZ 85042-6605. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Ambulatory Health Care Facilities / Physical Therapy. Allopathic & Osteopathic Physicians / Diagnostic Ultrasound is the primary health care specialty. Baseline Distributing, Llc can be contacted via phone (602) 908-2667, or through Palmer, Ryan Dean via phone (602) 908-2667.

Contact Information

Primary practice address
920 E Harwell Rd Phoenix AZ 85042-6605
Phone: (602) 908-2667
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Palmer, Ryan Dean
Phone: (602) 908-2667

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1578853065
LBN Legal business name Baseline Distributing, Llc
DBA Doing business as
Authorized official Palmer, Ryan Dean
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2011
Last updated Sep 9th, 2011 - about 14 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 1578853065 NPPES
Arizona MEDICAID 625277

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