NPIMap

Organization Active NPI

I Clark Labrum DC PC

  • Clinic/Center
  • St George, UT
National Provider Identifier
1952686818
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
166111-1202 Issued in UT
Legal business name
I CLARK LABRUM DC PC
Practice address
415 W Tabernacle St
St George, UT 84770-3797
Phone
(435) 673-2700
Fax
(434) 673-2714
NPI assigned
Oct 11, 2011
Last updated
Oct 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. I Clark Labrum, DCNPI 1679660542
Title
President
Phone
43356732700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 166111-1202 UT Primary

Addresses

Primary practice location

415 W Tabernacle St
St George, UT 84770-3797

Mailing address

415 W Tabernacle St
St George, UT 84770-3797
Phone (435) 673-2700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1952686818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W TABERNACLE ST",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703797",
            "telephone_number": "435-673-2700",
            "fax_number": "434-673-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W TABERNACLE ST",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703797",
            "telephone_number": "435-673-2700",
            "fax_number": "434-673-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CLARK LABRUM DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "LABRUM",
        "authorized_official_first_name": "I",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "43356732700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "166111-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.