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INTERMOUNTAIN VIEN CENTER-DRAPER NPI 1972628741


NPI Information

NPI: 1972628741
Provider Name: INTERMOUNTAIN VIEN CENTER-DRAPER

Other Name: UTAH VALLEY RADIOLOGY ASSOC. INC.

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 46D2135537

Address:
11616 S STATE ST STE 1501
DRAPER, UT
ZIP 84020
Phone: (801) 495-2100
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INTERMOUNTAIN VIEN CENTER-DRAPER is a specialist in Draper, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INTERMOUNTAIN VIEN CENTER-DRAPER NPI is 1972628741. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Utah Valley Radiology Assoc. Inc..

The provider's business location address is:

11616 S STATE ST STE 1501
DRAPER, UT
ZIP 84020-125
Phone: (801) 495-2100
Fax: (801) 572-0925

The provider's authorized official is L. James Jensen .
The authorized official title is Coo and has the following contact phone number (801) 225-6246.

The CLIA number assigned to this NPI record is 46D2135537 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.


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
1174400000XSpecialistYes

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

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