WASATCH VASCULAR CENTER LLC NPI 1558905398

NPI Information

  • NPI: 1558905398
  • Provider Name: WASATCH VASCULAR CENTER LLC
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • CLIA Number: 46D2176320
  • Address: 3702 S STATE ST STE 103
    SALT LAKE CITY, UT
    ZIP 84115
  • Phone: (801) 281-0027

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NPI Details

WASATCH VASCULAR CENTER LLC is a vascular and interventional radiology radiology in Salt Lake City, UT. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. WASATCH VASCULAR CENTER LLC NPI is 1558905398. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3702 S STATE ST STE 103
SALT LAKE CITY, UT
ZIP 84115-096
Phone: (801) 281-0027
Fax: (801) 262-1533

The provider's authorized official is Gregg Miller .
The authorized official title is Authorized Official and has the following contact phone number (610) 644-8900.

The CLIA number assigned to this NPI record is 46D2176320 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2019 and was last updated on 2/10/2023.

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
12085R0204XRadiologyVascular & Interventional 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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