PROVAS OF SALT LAKE, LLC is a vascular and interventional radiology radiology in Sandy, UT. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. PROVAS OF SALT LAKE, LLC NPI is 1407410244. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
909 E 9400 S
SANDY, UT
ZIP 84094-514
Phone: (801) 386-4240
The provider's authorized official is John Hewett .
The authorized official title is Medical Director and has the following contact phone number (801) 386-4240.
The CLIA number assigned to this NPI record is 46D2173744 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 4/26/2019 and was last updated on 4/26/2019.