DIAGNOSTIC CLINIC MEDICAL GROUP INC.
NPI 1154474245
Clinical Medical Laboratory in Largo, FL

NPI Status: Active since January 19, 2007

Contact Information

1301 2ND AVE SW
LARGO, FL
ZIP 33770
Phone: (727) 581-8767
Fax: (727) 581-8507

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  • Organization
  • Clinical Medical Laboratory

About DIAGNOSTIC CLINIC MEDICAL GROUP INC.

This page provides the complete NPI Profile along with additional information for Diagnostic Clinic Medical Group Inc., a provider established in Largo, Florida operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1154474245 assigned on January 2007. The practitioner's primary taxonomy code is 291U00000X with license number 10D2079095 (FL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Gina M Prebeck (Vp Of Operations)

NPI
1154474245
Provider Name
DIAGNOSTIC CLINIC MEDICAL GROUP INC.
Entity Type
Organization
Location Address
1301 2ND AVE SW LARGO, FL 33770
Location Phone
(727) 581-8767
Location Fax
(727) 581-8507
Mailing Address
1301 2ND AVE SW LARGO, FL 33770
Mailing Phone
(727) 581-8767
Mailing Fax
(727) 581-8507
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2007
Last Update Date
11-25-2020
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Establishments like Diagnostic Clinic Medical Group Inc. are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
10D2079095
License State
FL
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GINA M PREBECK

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(727) 581-8767

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
L8189OTHER (01)FLMEDICARE LAB ID#

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154474245
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2110487828
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 8 + 7 + 8 + 2 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1154474245 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

DR. HOWARD ALAN MANHOFF MD

Radiology

(Diagnostic Radiology)

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 501-7287

KYLE A GREGG CRNA

Nurse Anesthetist, Certified Registered

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

DR. JOSEPH L DONOVAN MD

Radiology

(Diagnostic Radiology)

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

DR. DOUGLAS E TERZIGNI D.O.

Psychiatry & Neurology

(Neurology)

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

DR. MICHAEL STENZEL M.D.

Internal Medicine

(Gastroenterology)

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

DR. RICHARD F. TIMMONS M.D.

Internal Medicine

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

DR. JAMES H. STEG M.D.

Internal Medicine

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

DR. MICHAEL E NERNEY M.D.

Surgery

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

MRS. JOANNE RUTH TALARICO ARNP

Nurse Practitioner

(Primary Care)

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

DR. EDWARD M. DEUTSCHER M.D.

Ophthalmology

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

DR. ROBERT P. MCCUNE M.D.

Plastic Surgery

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

DR. SCOTT L. FUCHS M.D.

Internal Medicine

(Cardiovascular Disease)

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

DR. RONALD E. BOWERS M.D.

Internal Medicine

(Pulmonary Disease)

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

DR. HARRY CHARLES CAMPBELL JR. M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 581-8767

DR. ANDREW PETERS M.D.

Anesthesiology

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

DR. JAMES A. ROBERTS M.D.

Ophthalmology

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

DR. GEOFFREY S. GREENE M.D.

Internal Medicine

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

DR. JOSEPH H. ROSIN D.O.

Internal Medicine

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

DR. CARL A TANDATNICK M.D.

Pain Medicine

(Pain Medicine)

1301 2ND AVE SW
LARGO, FL
ZIP 33770

(727) 584-7706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154474245, enumerated as an "organization" on January 19, 2007.

The provider is located at 1301 2ND AVE SW LARGO, FL 33770 and the phone number is (727) 581-8767.

Clinical Medical Laboratory with taxonomy code 291U00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.