RIVERWOOD ADVANCED DIAGNOSTIC IMAGING NPI 1194818278

NPI Information

  • NPI: 1194818278
  • Provider Name: RIVERWOOD ADVANCED DIAGNOSTIC IMAGING
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 3152 N UNIVERSITY AVE
    SUITE 100
    PROVO, UT
    ZIP 84604
  • Phone: (801) 437-4895

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NPI Details

RIVERWOOD ADVANCED DIAGNOSTIC IMAGING 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. RIVERWOOD ADVANCED DIAGNOSTIC IMAGING NPI is 1194818278. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3152 N UNIVERSITY AVE
SUITE 100
PROVO, UT
ZIP 84604-729
Phone: (801) 437-4895
Fax: (801) 229-1003

The provider's authorized official is Wendell A Gibby .
The authorized official title is Owner and has the following contact phone number (801) 437-4895.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 10/27/2011.

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
1174400000XSpecialist5414031-1704UTAHYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1005589711MEDICARE ID-TYPE UNSPECIFIEDUTAH
2528906826089MEDICAIDUTAH
3000055897MEDICARE PINUTAH
40058901MEDICARE PINUTAH

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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