Medical Diagnostic Center Inc

LBN: Medical Diagnostic Center Inc
Medical Diagnostic Center Inc is an health care organization with primary practice located at 16601 N 40Th St Suite 129, Phoenix AZ 85032-3345. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as the primary health care specialty. Medical Diagnostic Center Inc can be contacted via phone (602) 256-6555, or through Karagezyan, Hovhannes T via phone (602) 256-6555.

Contact Information

Primary practice address
16601 N 40Th St Suite 129 Phoenix AZ 85032-3345
Phone: (602) 256-6555
Fax: (602) 256-7555
Website:
Map and Directions
Authorized official contact:
Name: Karagezyan, Hovhannes T
Phone: (602) 256-6555

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X

Profile Details

NPI number 1114082120
LBN Legal business name Medical Diagnostic Center Inc
DBA Doing business as
Authorized official Karagezyan, Hovhannes T
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Apr 2nd, 2009 - about 16 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 1114082120 NPPES
Arizona Other 128136 AHCCCS PROVIDER ID

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