Organization
ADVANCED MOBILE DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAGUE (REGISTERED AGENT)
(801) 558-2822
Entity
Organization
Contact information
Practice address
10808 S RIVER FRONT PKWY STE 362, SOUTH JORDAN, UT 84095-6300
(801) 984-8039
Mailing address
10808 S RIVER FRONT PKWY STE 362, SOUTH JORDAN, UT 84095-6300
(801) 984-8039
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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