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Grants Pass Imaging And Diagnotic Center, Llc
Clinic/Center in Grants Pass, Oregon
NPI 1659307973

Grants Pass Imaging And Diagnotic Center, Llc is a Clinic/Center based in Grants Pass, OR. Grants Pass Imaging And Diagnotic Center, Llc practices in Grants Pass, OR. The NPI Number for Grants Pass Imaging And Diagnotic Center, Llc is 1659307973 and holds a License No. (Oregon).

The current practice location address for Grants Pass Imaging And Diagnotic Center, Llc is 1619 Nw Hawthorne Ave Ste 204, Grants Pass, OR and can be reached out via phone at 541-472-5154 and via fax at 541-472-5178. You can also correspond with Grants Pass Imaging And Diagnotic Center, Llc through the mailing address at 1619 NW HAWTHORNE AVE STE 204, GRANTS PASS, OR - 97526-6009 (mailing address contact number: 541-472-5154).

Location: 1619 Nw Hawthorne Ave Ste 204, Grants Pass, OR, 97526-6009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659307973
Provider Name
Grants Pass Imaging And Diagnotic Center, Llc
Credential
Provider Entity Type
Organization
Address
1619 Nw Hawthorne Ave Ste 204, Grants Pass, OR, 97526-6009
Phone Number
541-472-5154
Fax Number
541-472-5178
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
170137 05 OR
institution
Provider Business Practice Location Address Details
Address
1619 Nw Hawthorne Ave Ste 204
City
Grants Pass
State
Oregon
Zip
97526-6009
Phone Number
541-472-5154
Fax Number
541-472-5178
person
Provider Business Mailing Address Details
Address
1619 Nw Hawthorne Ave Ste 204
City
Grants Pass
State
Oregon
Zip
97526-6009
Phone Number
541-472-5154
Fax Number
541-472-5178
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(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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