| Diagnostic Clinic P.c. | |
|
2515 Grand Ave Des Moines IA 50312-5311 | |
| (515) 243-6151 | |
| (515) 243-6153 |
| Full Name | Diagnostic Clinic P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2515 Grand Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Joseph George Schupp (PRESIDENT) |
| Authorized Official Contact | 5152436151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diagnostic Clinic P.c. 2515 Grand Ave Des Moines IA 50312-5311 Ph: (515) 243-6151 | Diagnostic Clinic P.c. 2515 Grand Ave Des Moines IA 50312-5311 Ph: (515) 243-6151 |
| NPI Number | 1205991288 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205991288 | NPI | - | NPPES |
| 0191114 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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