OrganizationActive
District Medical Group, Inc
NPI 1336472448 · Anatomic Pathology & Clinical Pathology Physician · Phoenix, AZ
Provider details
- NPI number
- 1336472448
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- District Medical Group, Inc
- Organization subpart
- Yes
- Authorized official
- Teresa Cordeiro, Credentialing Director(602) 470-5000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cytopathology Physician207ZC0500X
Allopathic & Osteopathic Physicians
- Hematology (Pathology) Physician207ZH0000X
Allopathic & Osteopathic Physicians
- Chemical Pathology Physician207ZP0104X
Allopathic & Osteopathic Physicians
Practice location
2601 E Roosevelt St
Pathology
Phoenix, AZ 85008-4973
Phone: (602) 344-5529
Approximate (ZIP-level) locationGet directions
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Registry dates
- Enumerated
- 2009-09-09
- Last updated
- 2014-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.