Provider Demographics
NPI:1902420862
Name:CLOUD MEDICAL LLC
Entity Type:Organization
Organization Name:CLOUD MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:Z
Authorized Official - Last Name:TUSEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-848-3800
Mailing Address - Street 1:3601 ARAPAHOE AVE # D-176
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-1310
Mailing Address - Country:US
Mailing Address - Phone:303-848-3800
Mailing Address - Fax:
Practice Address - Street 1:3601 ARAPAHOE AVE # D-176
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1310
Practice Address - Country:US
Practice Address - Phone:303-848-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care