Children'S Medical Group, Ltd

LBN: Children'S Medical Group, Ltd
Children'S Medical Group, Ltd is an health care organization with primary practice located at 5757 W Thunderbird Rd E 255, Glendale AZ 85306-4641. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Children'S Medical Group, Ltd can be contacted via phone (602) 843-4149, or through Lardizabal, Agnes T via phone (602) 843-4149.

Contact Information

Primary practice address
5757 W Thunderbird Rd E 255 Glendale AZ 85306-4641
Phone: (602) 843-4149
Fax: (602) 843-3224
Website:
Map and Directions
Authorized official contact:
Name: Lardizabal, Agnes T Doctor of Medicine (MD)
Phone: (602) 843-4149

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1003096801
LBN Legal business name Children'S Medical Group, Ltd
DBA Doing business as
Authorized official Lardizabal, Agnes T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2007
Last updated Nov 8th, 2007 - about 19 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 1003096801 NPPES
Arizona MEDICAID 260852

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