David R Baker

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DAVID R BAKER

Doing business as

Logan Diagnostic Services

Practice address

55 E 100 N
Suite 305
Logan, UT 84321-4661

Phone

(435) 512-8151

NPI assigned

Apr 23, 2007

Last updated

Aug 22, 2020By 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

David R Baker

Title

Owner

Phone

(435) 512-8151

Specialties & licenses 1

Addresses

Other names 1

• LOGAN DIAGNOSTIC SERVICES Doing business as

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790903003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E 100 N",
            "address_2": "SUITE 305",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214661",
            "telephone_number": "435-512-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E 100 N",
            "address_2": "SUITE 305",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214661",
            "telephone_number": "435-512-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R BAKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-512-8151"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOGAN DIAGNOSTIC SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• David E Christian PHD PC
• David G Edwards D P M P C
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• Auriane Davis
• Dirk R. Davis, M.D.
• James Walter Davis, M.D.
• Madison Davis, LCSW

• Clinical Medical Laboratory in Logan, UT
• Providers in Logan, UT by specialty
• Clinical Medical Laboratory in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.