CLINICAL CONSULTANTS LLC NPI 1306010574

NPI Information

NPI: 1306010574
Provider Name: CLINICAL CONSULTANTS, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 46D2173983

Address:
7601 SOUTH REDWOOD ROAD
BUILDING E
WEST JORDAN, UT
ZIP 84084
Phone: (801) 233-8670
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CLINICAL CONSULTANTS, LLC is a rehabilitation and substance use disorder clinic center in West Jordan, UT. CLINICAL CONSULTANTS, LLC NPI is 1306010574. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7601 SOUTH REDWOOD ROAD
BUILDING E
WEST JORDAN, UT
ZIP 84084-323
Phone: (801) 233-8670
Fax: (801) 233-8682

The provider's authorized official is Michael R Odom .
The authorized official title is Administrator and has the following contact phone number (801) 233-8670.

The CLIA number assigned to this NPI record is 46D2173983 - comp. outpatient rehab facility with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/17/2008 and was last updated on 2/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	16640	UTAH	No
3	291U00000X	Clinical Medical Laboratory				No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	16640	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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