National Provider Identifier Database

MDI MEDICAL GROUP PC
Multi-Specialty


Contact Information

MDI MEDICAL GROUP PC
852 PONTIAC ST
DENVER, CO80220-4826
Phone: 816-679-2211
Fax:
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for MDI MEDICAL GROUP PC

NPI Number 1457036295
Legal business name
LBN
MDI MEDICAL GROUP PC
Authorized official MARC SEROTA - (CEO)
Entity Organization
Organization subpart No
Enumeration date 06/20/2023
Last updated 06/20/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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