institution
Portable X-ray Of Utah Llc
Mobile Radiology Clinic/Center in Salt Lake City, Utah
NPI 1992710669

Portable X-ray Of Utah Llc is a Mobile Radiology Clinic/Center based in Las Vegas, UT and is specialized in Radiology, Mobile. Portable X-ray Of Utah Llc practices in Salt Lake City, UT. The NPI Number for Portable X-ray Of Utah Llc is 1992710669 and holds a License No. (Utah).

The current practice location address for Portable X-ray Of Utah Llc is 2212 S West Temple, Salt Lake City, UT and can be reached out via phone at 801-359-2532 and via fax at 801-485-4174. You can also correspond with Portable X-ray Of Utah Llc through the mailing address at 5538 DUNCAN DR, LAS VEGAS, NV - 89130-2812 (mailing address contact number: 702-645-2606).

Location: 2212 S West Temple, Salt Lake City, UT, 89130-2812
institution
Provider Profile Details
NPI Number
1992710669
Provider Name
Portable X-ray Of Utah Llc
Credential
Provider Entity Type
Organization
Address
2212 S West Temple, Salt Lake City, UT, 89130-2812
Phone Number
801-359-2532
Fax Number
801-485-4174
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
80990680000001 01 UT BLUE CROSS BLUE SHIELD
IDX10887 01 UT HEALTHY U MEDICAID
80990680000001 01 UT BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2212 S West Temple
City
State
Zip
84115-2642
Phone Number
801-359-2532
Fax Number
801-485-4174
person
Provider Business Mailing Address Details
Address
2212 S West Temple
City
State
Zip
84115-2642
Phone Number
801-359-2532
Fax Number
801-485-4174
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mobile
Taxonomy
License No.
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Definition
Definition to come...
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