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Northwest Diagnostic Services
Clinic/Center in Medford, Oregon
NPI 1497051320

Northwest Diagnostic Services is a Clinic/Center based in Medford, OR. Northwest Diagnostic Services practices in Medford, OR. The NPI Number for Northwest Diagnostic Services is 1497051320 and holds a License No. 12-35846 (Oregon).

The current practice location address for Northwest Diagnostic Services is 2728 W Main St, Medford, OR and can be reached out via phone at 541-622-6088 and via fax at 541-622-6090.

Location: 2728 W Main St, Medford, OR, 97501-2499
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497051320
Provider Name
Northwest Diagnostic Services
Credential
Provider Entity Type
Organization
Address
2728 W Main St, Medford, OR, 97501-2499
Phone Number
541-622-6088
Fax Number
541-622-6090
Provider Enumeration Date
02/10/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R163709 01 OR MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2728 W Main St
City
Medford
State
Oregon
Zip
97501-2499
Phone Number
541-622-6088
Fax Number
541-622-6090
person
Provider Business Mailing Address Details
Address
2728 W Main St
City
Medford
State
Oregon
Zip
97501-2499
Phone Number
541-622-6088
Fax Number
541-622-6090
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
12-35846 (Oregon)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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