National Provider Identifier Database

PEDS DIAGNOSTIC CARDIOLOGY
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

PEDS DIAGNOSTIC CARDIOLOGY
100 N MEDICAL DR
PEDS DIAGNOSTIC CARDIOLOGY
SALT LAKE CITY, UT84113-1103
Phone: 801-662-5400
Fax: 801-662-5404
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for PEDS DIAGNOSTIC CARDIOLOGY

NPI Number 1710016340
Legal business name
LBN
PEDS DIAGNOSTIC CARDIOLOGY
Authorized official EDWARD CLARK - (CHAIRPERSON)
Entity Organization
Organization subpart No
Enumeration date 03/02/2007
Last updated 09/06/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PEDS DIAGNOSTIC CARDIOLOGY

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