Northwest Diagnostic Services

LBN: Northwest Diagnostic Services
Northwest Diagnostic Services is an health care organization with primary practice located at 2728 W Main St Suite 121, Medford OR 97501-2499. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Northwest Diagnostic Services can be contacted via phone (541) 622-6088, or through Hetherington, Janet via phone (541) 622-6088.

Contact Information

Primary practice address
2728 W Main St Suite 121 Medford OR 97501-2499
Phone: (541) 622-6088
Fax: (541) 622-6090
Website:
Map and Directions
Authorized official contact:
Name: Hetherington, Janet
Phone: (541) 622-6088

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 12-35846 Oregon

Profile Details

NPI number 1497051320
LBN Legal business name Northwest Diagnostic Services
DBA Doing business as
Authorized official Hetherington, Janet
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2011
Last updated Dec 9th, 2013 - 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 1497051320 NPPES
Oregon Other R163709 MEDICARE PTAN

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