Organization Active NPI

Clinical Diagnostic Services, LLC

  • Sonography Specialist/Technologist Cardiovascular
  • Denver, CO
National Provider Identifier
1245415629
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
Legal business name
CLINICAL DIAGNOSTIC SERVICES, LLC
Practice address
950 E Harvard Ave Ste 650
Denver, CO 80210-7002
Phone
(877) 753-2468
Fax
(775) 753-3772
NPI assigned
Jan 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Troy R. Eden, PA-C
Title
Owner
Phone
(775) 753-3770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193400000X SINGLE SPECIALTY GROUP 246XS1301X Primary

Addresses

Primary practice location

950 E Harvard Ave Ste 650
Denver, CO 80210-7002

Mailing address

845 Railroad St
Elko, NV 89801-3831
Phone (877) 753-2468

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1245415629",
    "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": "877-753-2468",
            "fax_number": "775-753-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E HARVARD AVE STE 650",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802107002",
            "telephone_number": "877-753-2468",
            "fax_number": "775-753-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "EDEN",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-753-3770",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.