Organization
DAVID R BAKER
Active
Organization
DAVID R BAKER
Active
Other names
LOGAN DIAGNOSTIC SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R BAKER (OWNER)
(435) 512-8151
Entity
Organization
Contact information
Practice address
55 E 100 N, SUITE 305, LOGAN, UT 84321-4661
(435) 512-8151
Mailing address
55 E 100 N, SUITE 305, LOGAN, UT 84321-4661
(435) 512-8151
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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