DR. LANCE DUSTIN EDMONDS M.D. NPI 1124214374

NPI Information

  • NPI: 1124214374
  • Provider Name: DR. LANCE DUSTIN EDMONDS, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1055 N 500 W STE 112
    PROVO, UT
    ZIP 84604
  • Phone: (801) 812-4624

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NPI Details

DR. Lance Dustin Edmonds, M.D. is a diagnostic radiology radiology in Provo, UT with 22 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Lance Dustin Edmonds, M.D. NPI is 1124214374. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:2004

The provider's business location address is:

1055 N 500 W STE 112
PROVO, UT
ZIP 84604-305
Phone: (801) 812-4624
Fax: (801) 812-4699

The NPI 1124214374 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)

The enumeration date for this NPI number is 9/21/2007 and was last updated on 3/20/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyA108694CALIFORNIANo
22085R0202XRadiologyDiagnostic Radiology380515-1205UTAHYes

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: 11/21/2025

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