Provider Demographics
NPI:1154202810
Name:CLINICAL DIAGNOSTIC SERVICES, LLC
Entity type:Organization
Organization Name:CLINICAL DIAGNOSTIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:SPIRES
Authorized Official - Last Name:BELCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-406-2237
Mailing Address - Street 1:506 HILL ST
Mailing Address - Street 2:
Mailing Address - City:WAYCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:31501-3323
Mailing Address - Country:US
Mailing Address - Phone:912-406-2237
Mailing Address - Fax:339-207-0790
Practice Address - Street 1:506 HILL ST
Practice Address - Street 2:
Practice Address - City:WAYCROSS
Practice Address - State:GA
Practice Address - Zip Code:31501-3323
Practice Address - Country:US
Practice Address - Phone:912-406-2237
Practice Address - Fax:339-207-0790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty