BASELINE DISTRIBUTING, LLC


Address: 920 E Harwell Rd, Phoenix, AZ 85042-6605
Phone: 6029082667

BASELINE DISTRIBUTING, LLC (NPI# 1578853065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578853065
Entity Type Organization
Organization Name BASELINE DISTRIBUTING, LLC
Practice Address 920 E Harwell Rd
Phoenix
AZ 85042-6605
Practice Telephone 6029082667
Mailing Telephone 6029082667
Enumeration Date 2011-04-18
Last Update Date 2011-09-09
Authorized Official Name MR. RYAN DEAN PALMER (MANAGER)
Authorized Official Telephone 6029082667
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities
Y 2085U0001X Radiology
Specialization: Diagnostic Ultrasound
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 625277 05

Office Location

Street Address 920 E HARWELL RD
City PHOENIX
State AZ
Zip Code 85042-6605

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Taxonomy Information

Taxonomy Code 2085U0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Ultrasound

Taxonomy Definition

A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.]

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Competitor

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City PHOENIX
Zip Code 85042

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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