# DISTRICT MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DISTRICT MEDICAL GROUP, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467685362
- **Legal business name:** DISTRICT MEDICAL GROUP, INC
- **Authorized official:** TERESA CORDEIRO (CREDENTIAING DIRECTOR)
- **Authorized official phone:** (602) 470-5000

## Contact information

- **Practice address:** 1800 E FLORENCE BLVD, PATHOLOGY, CASA GRANDE, AZ 85222-5303
- **Practice address phone:** (520) 426-6320
- **Mailing address:** 2929 E THOMAS RD, PHOENIX, AZ 85016-8034
- **Mailing address phone:** (602) 470-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | — | NULL | — |
| 207ZC0500X | Cytopathology Physician | — | — | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | NULL | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | — | — |
| 207ZP0101X | Anatomic Pathology Physician | — | NULL | — |
| 207ZP0101X | Anatomic Pathology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |
| 207ZP0104X | Chemical Pathology Physician | — | NULL | — |
| 207ZP0104X | Chemical Pathology Physician | — | — | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/26/2009
- **Last updated:** 10/01/2014