Dodge City Diagnostic, Llc

LBN: Dodge City Diagnostic, Llc
Dodge City Diagnostic, Llc is an health care organization with primary practice located at 2603 Central Avenue , Dodge City KS 67801-6200. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dodge City Diagnostic, Llc can be contacted via phone (620) 227-7771, or through Reiter, Joni L via phone (620) 227-7771.

Contact Information

Primary practice address
2603 Central Avenue Dodge City KS 67801-6200
Phone: (620) 227-7771
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reiter, Joni L
Phone: (620) 227-7771

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1689699613
LBN Legal business name Dodge City Diagnostic, Llc
DBA Doing business as
Authorized official Reiter, Joni L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated Feb 24th, 2016 - about 10 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 1689699613 NPPES
Kansas MEDICAID 100428180A
Kansas Other 1447259221

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