Bsa Amarillo Diagnostic Clinic Inc
NPI 1134559826ActiveOrganization· Internal Medicine· Amarillo, TX
Internal Medicine in Amarillo, Texas, registered in NPPES in November 2013. The authorized official on file is Stephen C. Petrovich, Svp. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134559826 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2013 |
| Last updated in NPPES | Oct 19, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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