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GENESIS VASCULAR OF SALT LAKE NPI 1104361591


NPI Information

NPI: 1104361591
Provider Name: GENESIS VASCULAR OF SALT LAKE

Doing Business As: GENESIS VASCULAR OF SALT LAKE, LLC

Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
6321 S REDWOOD RD
SUITE 102
SALT LAKE CITY, UT
ZIP 84123
Phone: (385) 388-8003
Get Directions

GENESIS VASCULAR OF SALT LAKE is an interventional cardiology internal medicine in Salt Lake City, UT. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. GENESIS VASCULAR OF SALT LAKE NPI is 1104361591. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Genesis Vascular Of Salt Lake, Llc.

The provider's business location address is:

6321 S REDWOOD RD
SUITE 102
SALT LAKE CITY, UT
ZIP 84123-798
Phone: (385) 388-8003
Fax: (385) 344-4006

The provider's authorized official is Dennis Munford .
The authorized official title is Manager and has the following contact phone number (385) 388-8003.

The enumeration date for this NPI number is 12/21/2016 and was last updated on 10/7/2020.


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
12085R0204XRadiologyVascular & Interventional RadiologyNo
22086S0129XSurgeryVascular SurgeryNo
3207RI0011XInternal MedicineInterventional CardiologyYes

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

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