MOUNTAIN WEST RADIOLOGY INC. NPI 1487652608

NPI Information

NPI: 1487652608
Provider Name: MOUNTAIN WEST RADIOLOGY, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 46D2062319

Address:
2055 N MAIN ST
TOOELE, UT
ZIP 84074
Phone: (435) 843-3646
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MOUNTAIN WEST RADIOLOGY, INC. is a diagnostic radiology radiology in Tooele, UT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MOUNTAIN WEST RADIOLOGY, INC. NPI is 1487652608. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2055 N MAIN ST
TOOELE, UT
ZIP 84074-819
Phone: (435) 843-3646
Fax: (435) 843-2590

The provider's authorized official is James Thomas Webber .
The authorized official title is President and has the following contact phone number (435) 843-3600.

The CLIA number assigned to this NPI record is 46D2062319 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 9/23/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	2005063	UTAH	Yes

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
1	DC9493	MEDICARE PIN	UTAH
2	000055939	MEDICARE PIN	UTAH

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

NPI Synchronization or Removal

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