# UTAH LUNG CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093923591
- **Authorized official:** IMAD S FARRUKH MD (PRESIDENT)
- **Authorized official phone:** (801) 562-5864

## Contact information

- **Practice address:** 3584 W 9000 S, WEST JORDAN, UT 84088
- **Practice address phone:** (801) 562-5864
- **Practice address fax:** (801) 568-0202
- **Mailing address:** PO BOX 150173, OGDEN, UT 84415
- **Mailing address phone:** (801) 479-0601
- **Mailing address fax:** (801) 479-4768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 180183-1205 | UT | Yes |
| 207RP1001X | Pulmonary Disease Physician | 180183-1205 | UT | — |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 09/11/2025