Mobile Doctors Of Phoenix

LBN: Lake Mi Mobile Doctors, P.C.
Mobile Doctors Of Phoenix is an health care organization with primary practice located at 2345 E. Thomas Rd Suite # 420, Phoenix AZ 85016. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Lake Mi Mobile Doctors, P.C. can be contacted via phone (602) 955-5700, or through Contreras, Tysyn via phone (773) 751-7200.

Contact Information

Primary practice address
2345 E. Thomas Rd Suite # 420 Phoenix AZ 85016
Phone: (602) 955-5700
Fax: (602) 955-5701
Website:
Map and Directions
Authorized official contact:
Name: Contreras, Tysyn
Phone: (773) 751-7200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X

Profile Details

NPI number 1851612329
LBN Legal business name Lake Mi Mobile Doctors, P.C.
DBA Doing business as Mobile Doctors Of Phoenix
Authorized official Contreras, Tysyn
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2010
Last updated Oct 9th, 2012 - about 13 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 1851612329 NPPES
Arizona MEDICAID 574693

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