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Contact Information

MTD MEDICAL SERVICES, LLC
290 N RED SLIDE DR
WELLSVILLE, UT84339-9757
 Phone: 435-716-5489
 Fax: 435-716-5442
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MTD MEDICAL SERVICES, LLC

NPI Number 1861714768
LBN Legal business name MTD MEDICAL SERVICES, LLC
Authorized official JONATHAN KOEHLER - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/18/2010
Last updated 01/26/2011 - About 15 years ago
Identifiers
UT License # 180791-1205
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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