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INTERMOUNTAIN VEIN CENTER NPI 1104959758


NPI Information

NPI: 1104959758
Provider Name: INTERMOUNTAIN VEIN CENTER

Other Name: UTAH VALLEY RADIOLOGY ASSOC. INC.

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1055 N 300 W
#308
PROVO, UT
ZIP 84604
Phone: (801) 379-6700
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INTERMOUNTAIN VEIN CENTER is a specialist in Provo, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INTERMOUNTAIN VEIN CENTER NPI is 1104959758. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Utah Valley Radiology Assoc. Inc..

The provider's business location address is:

1055 N 300 W
#308
PROVO, UT
ZIP 84604-344
Phone: (801) 379-6700

The provider's authorized official is L. James Jensen .
The authorized official title is Coo and has the following contact phone number (801) 225-6246.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 8/22/2020.


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
1174400000XSpecialistYes

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

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