# SLC DIAGNOSTIC IMAGING

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

## Provider details

- **NPI number:** 1255769386
- **Authorized official:** MRS. VALERIE LUCKING RDCS (OWNER/OPERATOR)
- **Authorized official phone:** (801) 253-6452

## Contact information

- **Practice address:** 6202 W FREEDOM HILL WAY, HERRIMAN, UT 84096-6987
- **Practice address phone:** (801) 253-6452
- **Practice address fax:** (801) 253-5114
- **Mailing address:** 6202 W FREEDOM HILL WAY, HERRIMAN, UT 84096-6987
- **Mailing address phone:** (801) 253-6452
- **Mailing address fax:** (801) 253-5114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 774 | UT | Yes |

## Other

- **Enumeration date:** 10/29/2013
- **Last updated:** 10/29/2013
