UNIVERSITY OF UTAH OB DIAGNOSTIC CENTER; NPI #1417983776

Contact Information

UNIVERSITY OF UTAH OB DIAGNOSTIC CENTER

50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001

Phone: 801-581-2719
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Ultrasound	2085U0001X
Body Imaging	2085B0100X
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for UNIVERSITY OF UTAH OB DIAGNOSTIC CENTER

NPI Number 1417983776

LBN Legal business name UNIVERSITY OF UTAH OB DIAGNOSTIC CENTER

Authorized official C. MATTHEW PETERSON - (DEPARTMENT CHAIR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/25/2006

Last updated 06/30/2008 - About 18 years ago

Identifiers

UT	Medicaid	870410144009
ID	Other	003054800	IDAHO MEDICAID
NV	Other	100503089	NEVADA MEDICAID
WY	Other	117769900	WYOMING MEDICAID

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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UNIVERSITY OF UTAH OB DIAGNOSTIC CENTER

Contact Information

Specialty

Diagnostic Ultrasound

Body Imaging

Diagnostic Radiology

NPI Profile & details for UNIVERSITY OF UTAH OB DIAGNOSTIC CENTER

Reviews for UNIVERSITY OF UTAH OB DIAGNOSTIC CENTER