Organization · NPI-2
Advanced Mobile Diagnostics, LLC
Spec/Tech, Cardiovascular, Vascular Specialist · South Jordan, UT
NPI number1366851271
StatusActive
Last updated in NPPESAug 5, 2014
Details
- NPI
- 1366851271
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Mobile Diagnostics, LLC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2014
- Last updated
- Aug 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246XC2903X | Spec/Tech, Cardiovascular, Vascular Specialist | – | – | Yes |
Practice location
10808 S River Front Pkwy Ste 362South Jordan, UT 84095-6300
Phone 801-984-8039
Mailing address
10808 S River Front Pkwy Ste 362South Jordan, UT 84095-6300
Phone 801-984-8039
Authorized official
David Hague
Registered Agent
8015582822
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