DIAGNOSTIC CLINIC
NPI 1407851314
Urology in Largo, FL

Q: What is Diagnostic Clinic Medical Group Inc.'s NPI number?

The NPI number for Diagnostic Clinic Medical Group Inc. is 1407851314. It was assigned to this organization in the NPPES registry on June 16, 2005. The provider is doing business as Diagnostic Clinic.

Q: What is Diagnostic Clinic Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since June 16, 2005

1301 2ND AVE SW, LARGO, FL 33770(727) 581-8767(727) 581-8507 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 26, 2020 (2 updates tracked since 2020).

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About Diagnostic Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIAGNOSTIC CLINIC (NPI 1407851314) is a healthcare organization registered as an urology in Largo, Florida and active in the NPI registry since June 2005. The organization lists Gina Marie Prebeck, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1407851314

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameDIAGNOSTIC CLINIC MEDICAL GROUP INC.

Location Address1301 2ND AVE SWLargo, FL 33770-3120

Mailing Address1301 2nd Ave SwLargo, FL 33770-3120 · (727) 581-8767 · Fax (727) 581-8507

Phone(727) 581-8767

Fax(727) 581-8507

Organization SubpartNo

Authorized OfficialGina Marie PrebeckVp Of Operations · (727) 581-8767

Enumeration DateJune 16, 2005

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

NPPES CertifiedAugust 26, 2020

✔ NPI 1407851314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedDermatologyTaxonomy 207N00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedNuclear MedicineTaxonomy 207U00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOphthalmologyTaxonomy 207W00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPathology · CytopathologyTaxonomy 207ZC0500X

Also ListedPediatricsTaxonomy 208000000X

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X

Also ListedSurgeryTaxonomy 208600000X

1301 2ND AVE SW, Largo, FL 33770

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Other Names 1

Doing Business AsDiagnostic Clinic

Other Identifiers 2

Medicaid260094300FL

Medicaid260094304FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida.Insurance ›

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES F. RIVENBARK M.D.

Internal Medicine