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UTAH LUNG CENTER LLC NPI 1093923591


NPI Information

NPI: 1093923591
Provider Name: UTAH LUNG CENTER, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 46D1050935

Address:
3584 W 9000 S
WEST JORDAN, UT
ZIP 84088
Phone: (801) 562-5864
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UTAH LUNG CENTER, LLC is an internal medicine in West Jordan, UT. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. UTAH LUNG CENTER, LLC NPI is 1093923591. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3584 W 9000 S
WEST JORDAN, UT
ZIP 84088
Phone: (801) 562-5864
Fax: (801) 568-0202

The provider's authorized official is Imad S Farrukh .
The authorized official title is President and has the following contact phone number (801) 562-5864.

The CLIA number assigned to this NPI record is 46D1050935 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2007 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
1207R00000XInternal Medicine180183-1205UTAHYes
2207RP1001XInternal MedicinePulmonary Disease180183-1205UTAHX

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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