Clinical Diagnostic Services, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLINICAL DIAGNOSTIC SERVICES, LLC

Practice address

845 Railroad St
Elko, NV 89801-3831

Phone

(775) 753-3770

Fax

(775) 753-3772

NPI assigned

Sep 24, 2007

Last updated

Dec 17, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Troy Eden, PA-C

Title

Owner

Phone

(775) 753-3770

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirin Leslie Madden, MD

  • Family Medicine Physician
  • Elko, NV
  • NPI 1659436038
  NPD (past)
• William Marcus Brann, MD

  • Cardiovascular Disease Physician
  • Evanston, WY
  • NPI 1912087826
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1073709069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 RAILROAD ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013831",
            "telephone_number": "775-753-3770",
            "fax_number": "775-753-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 RAILROAD ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013831",
            "telephone_number": "775-753-3770",
            "fax_number": "775-753-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "EDEN",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-753-3770",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Elko Municipal Water Works
• Marie Civil
• Michael Clark, FNP-C
• Tiffany Roxanne Clark
• Cheyennne Hope Cleveland
• Josie Clymens, PCW
• Rebecca Jane Colborne, L.M.T., M.M.P.
• Jessica E Cole
• Christina Marie Collins, RN
• Richard Eugene Collins

• Clinic/Center in Elko, NV
• Providers in Elko, NV by specialty
• Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.