University Of Utah Pediatric Cardiology Electrophysiology Svcs

LBN: University Of Utah Pediatric Cardiology Electrophysiology Svcs
University Of Utah Pediatric Cardiology Electrophysiology Svcs is an health care organization with primary practice located at 100 Mario Capecchi Dr , Salt Lake City UT 84113-1103. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine is the primary health care specialty. University Of Utah Pediatric Cardiology Electrophysiology Svcs can be contacted via phone (801) 662-5400, or through Clark, Edward B via phone (801) 587-7400.

Contact Information

Primary practice address
100 Mario Capecchi Dr Salt Lake City UT 84113-1103
Phone: (801) 662-5400
Fax: (801) 662-5404
Website:
Map and Directions
Authorized official contact:
Name: Clark, Edward B Doctor of Medicine (MD)
Phone: (801) 587-7400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X

Profile Details

NPI number 1770841785
LBN Legal business name University Of Utah Pediatric Cardiology Electrophysiology Svcs
DBA Doing business as
Authorized official Clark, Edward B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2012
Last updated May 22nd, 2012 - about 12 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.

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