VANZO-KOCH ENTERPRISES LLC NPI 1811604630

NPI Information

  • NPI: 1811604630
  • Provider Name: VANZO-KOCH ENTERPRISES, LLC
  • Classification: Clinic/Center - 261QR0207X
  • Specialization: Radiology, Mobile Mammography
  • Entity Type: Organization
  • Doing Business As: THE BOOB BUS
  • Address: 10927 S WOOD STONE CIR
    SOUTH JORDAN, UT
    ZIP 84095
  • Phone: (217) 313-0746

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NPI Details

VANZO-KOCH ENTERPRISES, LLC is a radiology and mobile mammography clinic center in South Jordan, UT. VANZO-KOCH ENTERPRISES, LLC NPI is 1811604630. The provider is registered as an organization entity type.
The provider Is Doing Business As The Boob Bus.

The provider's business location address is:

10927 S WOOD STONE CIR
SOUTH JORDAN, UT
ZIP 84095-273
Phone: (217) 313-0746

The provider's authorized official is Rena Jean Vanzo .
The authorized official title is Co-founder/ceo and has the following contact phone number (217) 313-0746.

The enumeration date for this NPI number is 11/1/2022 and was last updated on 2/5/2024.

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
1261QR0208XClinic/CenterRadiology, MobileNo
2261QR0207XClinic/CenterRadiology, Mobile MammographyYes

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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