Pediatric Genetics Department Of University Of Utah
LBN: Pediatric Genetics Department Of University Of Utah
Pediatric Genetics Department Of University Of Utah is an health care organization with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-0001. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is the primary health care specialty.
Pediatric Genetics Department Of University Of Utah can be contacted via phone (801) 581-8943, or through Clark, Edward B via phone (801) 587-7400.
Contact Information
Primary practice address
50 N Medical Dr
Salt Lake City UT 84132-0001
Phone: (801) 581-8943
Fax: (801) 585-7252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1629022827 |
|---|---|
| LBN Legal business name | Pediatric Genetics Department Of University Of Utah |
| DBA Doing business as | |
| Authorized official | Clark, Edward B Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Sep 6th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629022827 | NPPES |
| Nevada | MEDICAID | 100507116 | |
| Nevada | MEDICAID | 807154000 | |
| Nevada | MEDICAID | 121238900 |
Popular Providers
-
St Lukes Roosevelt Hospital Center
1000 10Th Ave Ste 10C , New York NY 10019-1147 -
Greater Baltimore Medical Center, Inc.
6701 N Charles St , Baltimore MD 21204-6808 -
Christus Trinity Clinic
520 Douglas Blvd , Tyler TX 75702-8307 -
University Of Utah Adult Services
50 N Medical Dr Clinic 1, Salt Lake City UT 84132-0100 -
Horizon Molecular Medicine
1 Dunwoody Park Suite 250, Atlanta GA 30338-7404 -
Indiana University Medical Genetics Service, Inc.
975 W Walnut St , Indianapolis IN 46202-5181 -
Arizona Institute For Genetics And Fetal Medicine, A Professional Corp
6301 S Mcclintock Dr Suite 115, Tempe AZ 85283-3392 -
Park Slope Medicine, P.C.
506 6Th St , Brooklyn NY 11215-3609