LOGAN RADIOLOGY GROUP LLC NPI 1043212988

NPI Information

NPI: 1043212988
Provider Name: LOGAN RADIOLOGY GROUP LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1400 N 500 E
LOGAN, UT
ZIP 84341
Phone: (281) 980-1430
Get Directions

LOGAN RADIOLOGY GROUP LLC is a diagnostic radiology radiology in Logan, UT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. LOGAN RADIOLOGY GROUP LLC NPI is 1043212988. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1400 N 500 E
LOGAN, UT
ZIP 84341-455
Phone: (281) 980-1430

The provider's authorized official is C Richard Hopkins .
The authorized official title is President and has the following contact phone number (801) 296-2113.

The enumeration date for this NPI number is 8/11/2005 and was last updated on 4/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	=========	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	DA3625	MEDICARE PIN	IDAHO
2	=========000	MEDICAID	UTAH
3	CD4416	MEDICARE PIN	UTAH
4	000055469	MEDICARE PIN	UTAH
5	002979600	MEDICAID	IDAHO
6	1375133	MEDICARE PIN	IDAHO
7	119042300	MEDICAID	WYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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