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Export Provider Record NPI 1043676034
Diagnostic Clinic Medical Group, Inc.
Organization Subpart: NO
Active
NPI Number1043676034
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Radiology
Provider Details
NPI1043676034
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2016-01-07
Last Updated2020-11-25
Authorized OfficialGina Prebeck
VP of Operations
Phone: 7275818767
Mailing Address1301 2nd Ave Sw
Largo, FL 33770-3120
United States
Phone: (727) 581-8767 | Fax: (727) 581-8507
📍 View Map
Primary Practice Address1301 2nd Ave Sw
Largo, FL 33770-3120
United States
Phone: (727) 581-8767 | Fax: (727) 581-8507
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)FLV00EYFlorida Blue
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes261QR0200X – Clinic/Center, Radiology
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About NPI 1043676034

Diagnostic Clinic Medical Group, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1043676034. The primary specialty listed is Clinic/Center, Radiology. The organization is located in Largo, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-01-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1043676034?

NPI 1043676034 belongs to Diagnostic Clinic Medical Group, Inc., a Clinic/Center, Radiology in Largo, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1043676034 active?

The current status of NPI 1043676034 in the NPPES registry is Active. The record was last updated on 2020-11-25.

What specialty is NPI 1043676034?

NPI 1043676034 is classified under the taxonomy Clinic/Center, Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1043676034?

You can verify NPI 1043676034 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1043676034?

The primary practice address on file for NPI 1043676034 is 1301 2nd Ave Sw, Largo, FL 33770-3120. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1043676034 issued?

NPI 1043676034 was first issued (enumerated) on 2016-01-07. The NPPES record was last updated on 2020-11-25.

Practice Location Map

Diagnostic Clinic Medical Group, Inc. is located at 1301 2nd Ave Sw, Largo, FL. Use the map below to find directions or verify the practice location.

📍 1301 2nd Ave Sw, Largo, FL 33770-3120  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Diagnostic Clinic Medical Group, Inc.. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162