Clinical Diagnostic Services, LLC

NPI #1184715005 in Riverton, Utah

Provider Information

NPI Number
1184715005
Entity Type
Organization
Organization Name
Clinical Diagnostic Services, LLC
Primary Specialty
Clinic/Center
Enumeration Date
Sep 27, 2006
Last Updated
May 28, 2008

Practice Location

Address
5146 ELK HORN PEAK DR
State
Utah
ZIP Code
84096-6429
Phone
(775) 753-3770

Authorized Official

Name
MRS. CINDY R. BEAULIEU, CMOM
Title
CERTIFIED MEDICAL OFFICE MANAGER
Phone
(775) 753-3770

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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