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GAMMAWEST BRACHYTHERAPY LLC NPI 1053451617


NPI Information

NPI: 1053451617
Provider Name: GAMMAWEST BRACHYTHERAPY, LLC

Doing Business As: GAMMA WEST CANCER SERVICES

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

CLIA Number: 46D2034421

Address:
1250 E 3900 S # B-10
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 456-8401
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GAMMAWEST BRACHYTHERAPY, LLC is a radiation oncology radiology in Salt Lake City, UT. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. GAMMAWEST BRACHYTHERAPY, LLC NPI is 1053451617. The provider is registered as an organization entity type.
The provider Is Doing Business As Gamma West Cancer Services.

The provider's business location address is:

1250 E 3900 S # B-10
SALT LAKE CITY, UT
ZIP 84124-348
Phone: (801) 456-8401
Fax: (801) 456-8408

The provider's authorized official is Robbie Rhymer .
The authorized official title is Evp Hr & Coo and has the following contact phone number (156) 467-7415.

The CLIA number assigned to this NPI record is 46D2034421 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 9/12/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyNo
22085R0001XRadiologyRadiation Oncology2054905-0160UTAHYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.