Provider Type Icon

UNIVERSITY OF UTAH OB DIAGNOSTIC CENTER NPI 1417983776


NPI Information

NPI: 1417983776
Provider Name: UNIVERSITY OF UTAH OB DIAGNOSTIC CENTER
Classification: Radiology - 2085U0001X
Entity Type: Organization

Specialization: Diagnostic Ultrasound

Address:
50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 581-2719
Get Directions

UNIVERSITY OF UTAH OB DIAGNOSTIC CENTER is a diagnostic ultrasound radiology in Salt Lake City, UT. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. UNIVERSITY OF UTAH OB DIAGNOSTIC CENTER NPI is 1417983776. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132-001
Phone: (801) 581-2719

The provider's authorized official is C. Matthew Peterson .
The authorized official title is Department Chair and has the following contact phone number (801) 581-2719.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 6/30/2008.


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
12085B0100XRadiologyBody ImagingNo
22085R0202XRadiologyDiagnostic RadiologyNo
32085U0001XRadiologyDiagnostic UltrasoundYes

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
1003054800OTHERIDAHOIDAHO MEDICAID
2000057669MEDICARE ID-TYPE UNSPECIFIEDUTAH
3100503089OTHERNEVADANEVADA MEDICAID
4870410144009MEDICAIDUTAH
5117769900OTHERWYOMINGWYOMING MEDICAID

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.