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NORTHERN UTAH IMAGING LLC NPI 1487643904


NPI Information

NPI: 1487643904
Provider Name: NORTHERN UTAH IMAGING LLC

Doing Business As: MILLCREEK IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3738 S 900 E
SALT LAKE CITY, UT
ZIP 84106
Phone: (801) 313-1955
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NORTHERN UTAH IMAGING LLC is a diagnostic radiology radiology in Salt Lake City, UT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NORTHERN UTAH IMAGING LLC NPI is 1487643904. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Millcreek Imaging.

The provider's business location address is:

3738 S 900 E
SALT LAKE CITY, UT
ZIP 84106-913
Phone: (801) 313-1955
Fax: (801) 313-1965

The provider's authorized official is Lavelle Hardin .
The authorized official title is Imaging & Oncology Managed Care and has the following contact phone number (615) 372-5441.

The enumeration date for this NPI number is 10/18/2005 and was last updated on 11/8/2010.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========001MEDICAIDUTAH
2OOOO90762MEDICARE PINUTAH
3P00141132OTHERUTAHRR MEDICARE

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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