Organization
UTAH LUNG CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMAD S FARRUKH MD (PRESIDENT)
(801) 562-5864
Entity
Organization
Contact information
Practice address
3584 W 9000 S, WEST JORDAN, UT 84088
(801) 562-5864
(801) 568-0202
Mailing address
PO BOX 150173, OGDEN, UT 84415
(801) 479-0601
(801) 479-4768
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
180183-1205
UT
207RP1001X
Pulmonary Disease Physician
180183-1205
UT
Other
Enumeration date
05/18/2007
Last updated
09/11/2025
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