Diagnostic Clinic Medical Group, Inc.

LBN: Diagnostic Clinic Medical Group, Inc.
Diagnostic Clinic Medical Group, Inc. is an health care organization with primary practice located at 1301 2Nd Ave Sw , Largo FL 33770-3120. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Diagnostic Clinic Medical Group, Inc. can be contacted via phone (727) 581-8767, or through Prebeck, Gina M via phone (727) 581-8767.

Contact Information

Primary practice address
1301 2Nd Ave Sw Largo FL 33770-3120
Phone: (727) 581-8767
Fax: (727) 581-8507
Website:
Map and Directions
Authorized official contact:
Name: Prebeck, Gina M Doctor of Medicine (MD)
Phone: (727) 581-8767

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1043676034
LBN Legal business name Diagnostic Clinic Medical Group, Inc.
DBA Doing business as
Authorized official Prebeck, Gina M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2016
Last updated Nov 25th, 2020 - about 6 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 1043676034 NPPES
Florida Other V00EY FLORIDA BLUE

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