Professional Diagnostics
NPI 1184670606ActiveOrganization· Specialist· Salt Lake City, UT
Specialist in Salt Lake City, Utah, registered in NPPES in May 2006. The authorized official on file is David Fjeldsted, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184670606 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2006 |
| Last updated in NPPES | Jan 28, 2020 |
| Certified by provider | Jan 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
Other Specialist providers in Salt Lake City
- 1194731240
- 1225060676
- 1083608095
- 1265630313
- 1518083195
- 1669546743
- 1023015260
- 1033392071
- 1114097508
- 1124114038
- 1134393499
- 1184843278
All 107 Specialist providers in Salt Lake City · All Specialist providers in Utah