Clinical Diagnostic Services, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLINICAL DIAGNOSTIC SERVICES, LLC

Practice address

5146 Elk Horn Peak Dr
Riverton, UT 84096-6429

Phone

(775) 753-3770

Fax

(505) 753-3772

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy R. Beaulieu, CMOM

Title

Certified Medical Office Manager

Phone

(775) 753-3770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1184715005",
    "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": "505-753-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5146 ELK HORN PEAK DR",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840966429",
            "telephone_number": "775-753-3770",
            "fax_number": "505-753-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "BEAULIEU",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CERTIFIED MEDICAL OFFICE MANAGER",
        "authorized_official_telephone_number": "775-753-3770",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMOM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Churchill
• Caroline Adele Cizek
• Curtis Clark, ACNP
• John Larsen Clayton, M.D.
• David T Clegg, DDS
• Colarusso Family Chiropractic, PC
• John Joseph Colarusso, D.C.
• Cold Front Pharmacy
• Craig Alan Coleby, MD
• Chloe Coleman, CSW-I

• Clinic/Center in Riverton, UT
• Providers in Riverton, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.