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Contact Information

STARK MEDICAL DIAGNOSTIC CENTER, INC
13232 SE STARK ST
PORTLAND, OR97233-1573
 Phone: 503-408-7578
 Fax: 503-408-7615
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for STARK MEDICAL DIAGNOSTIC CENTER, INC

NPI # 1568795946
LBN Legal business name STARK MEDICAL DIAGNOSTIC CENTER, INC
Authorized official JORGE MACIAS - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2009
Last updated 09/16/2009 - About 17 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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