GREEN RIVER RADIOLOGY P.C. NPI 1508533878

NPI Information

  • NPI: 1508533878
  • Provider Name: GREEN RIVER RADIOLOGY, P.C.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • :
  • CLIA Number: 46D2295280
  • Address: 1982 W PLEASANT GROVE BLVD STE L
    PLEASANT GROVE, UT
    ZIP 84062
  • Phone: (801) 563-0333

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NPI Details

GREEN RIVER RADIOLOGY, P.C. is a diagnostic radiology radiology in Pleasant Grove, UT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. GREEN RIVER RADIOLOGY, P.C. NPI is 1508533878. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

1982 W PLEASANT GROVE BLVD STE L
PLEASANT GROVE, UT
ZIP 84062-268
Phone: (801) 563-0333
Fax: (801) 563-0335

The provider's authorized official is Ramona Ahern .
The authorized official title is Special Assistant Secretary and has the following contact phone number (952) 738-4441.

The CLIA number assigned to this NPI record is 46D2295280 - other - radiology with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2021 and was last updated on 8/18/2025.

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 RadiologyYes

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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