NPI 1184670606

Professional Diagnostics

Organisation Specialist Salt Lake City, UT

Practice location

Address: 1050 E South Temple, Salt Lake City, UT 84102-1507
Phone: (800) 288-8325
Fax: (419) 866-5453
Mailing address: 5700 Southwyck Blvd, Toledo, OH 43614-1509

Authorised official

Name: David Fjeldsted
Title: President
Phone: (800) 288-8325

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Utah →

Registry record

NPI: 1184670606
Entity type: Organization
NPI issued: 26 May 2006
Record last updated: 28 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.