DISTRICT MEDICAL GROUP, INC; NPI #1568795532

Contact Information

DISTRICT MEDICAL GROUP, INC

2601 E ROOSEVELT ST
RADIOLOGY
PHOENIX, AZ 85008-4973

Phone: 602-344-5000
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Body Imaging	2085B0100X
Diagnostic Neuroimaging	2085D0003X
Diagnostic Ultrasound	2085U0001X
Neuroradiology	2085N0700X
Nuclear Radiology	2085N0904X
Pediatric Radiology	2085P0229X
Radiation Oncology	2085R0203X
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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NPI Profile & details for DISTRICT MEDICAL GROUP, INC

NPI Number	`1568795532`
LBN Legal business name	DISTRICT MEDICAL GROUP, INC
Authorized official	TERESA CORDEIRO - (CREDENTIALING DIRECTOR)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	09/09/2009
Last updated	10/01/2014 - About 12 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DISTRICT MEDICAL GROUP, INC

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NPI Profile & details for DISTRICT MEDICAL GROUP, INC

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