Diagnostic Clinic P.C.

LBN: Diagnostic Clinic P.C.
Diagnostic Clinic P.C. is an health care organization with primary practice located at 2515 Grand Ave , Des Moines IA 50312-5311. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Diagnostic Clinic P.C. can be contacted via phone (515) 243-6151, or through Schupp, Joseph George via phone (515) 243-6151.

Contact Information

Primary practice address
2515 Grand Ave Des Moines IA 50312-5311
Phone: (515) 243-6151
Fax: (515) 243-6153
Website:
Map and Directions
Authorized official contact:
Name: Schupp, Joseph George Doctor of Medicine (MD)
Phone: (515) 243-6151

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1205991288
LBN Legal business name Diagnostic Clinic P.C.
DBA Doing business as
Authorized official Schupp, Joseph George Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Aug 22nd, 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 1205991288 NPPES
Iowa MEDICAID 0191114

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