PEDS DIAGNOSTIC CARDIOLOGY NPI 1710016340

NPI Information

  • NPI: 1710016340
  • Provider Name: PEDS DIAGNOSTIC CARDIOLOGY
  • Classification: Pediatrics - 2080P0202X
  • Specialization: Pediatric Cardiology
  • Entity Type: Organization
  • Address: 100 N MEDICAL DR
    PEDS DIAGNOSTIC CARDIOLOGY
    SALT LAKE CITY, UT
    ZIP 84113
  • Phone: (801) 662-5400

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NPI Details

PEDS DIAGNOSTIC CARDIOLOGY is a pediatric cardiology pediatrics in Salt Lake City, UT. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. PEDS DIAGNOSTIC CARDIOLOGY NPI is 1710016340. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 N MEDICAL DR
PEDS DIAGNOSTIC CARDIOLOGY
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 662-5400
Fax: (801) 662-5404

The provider's authorized official is Edward B Clark .
The authorized official title is Chairperson and has the following contact phone number (801) 587-7400.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 9/6/2011.

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
1208000000XPediatricsNo
22080P0202XPediatricsPediatric CardiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000067413MEDICARE PINUTAH

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: 11/21/2025

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