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Contact Information

DIAGNOSTIC RADIOLOGY PC VEIN CLINIC
26136 US HIGHWAY 59
FAIRFAX, MO64446-9105
 Phone: 308-647-6444
 Fax: 866-902-2445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for DIAGNOSTIC RADIOLOGY PC VEIN CLINIC

NPI # 1144650938
LBN Legal business name DIAGNOSTIC RADIOLOGY PC VEIN CLINIC
Authorized official JO POHL - (BILLING MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/15/2013
Last updated 11/15/2013 - About 13 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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