Lakeside Medical

LBN: Comprehensive Family Clinic
Lakeside Medical is an health care organization with primary practice located at 4701 W 2100 S Building 3, Salt Lake City UT 84120-1223. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Comprehensive Family Clinic can be contacted via phone (801) 974-3382, or through Moll, Erik via phone (801) 974-3382.

Contact Information

Primary practice address
4701 W 2100 S Building 3 Salt Lake City UT 84120-1223
Phone: (801) 974-3382
Fax: (801) 974-3295
Website:
Map and Directions
Authorized official contact:
Name: Moll, Erik Doctor of Chiropractic (DC)
Phone: (801) 974-3382

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 6787397-1202 Utah
Allopathic & Osteopathic Physicians / General Practice 208D00000X 151129-1205 Utah

Profile Details

NPI number 1528204922
LBN Legal business name Comprehensive Family Clinic
DBA Doing business as Lakeside Medical
Authorized official Moll, Erik Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 6th, 2009
Last updated Jan 7th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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