Organization
SLC DIAGNOSTIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE LUCKING RDCS (OWNER/OPERATOR)
(801) 253-6452
Entity
Organization
Contact information
Practice address
6202 W FREEDOM HILL WAY, HERRIMAN, UT 84096-6987
(801) 253-6452
(801) 253-5114
Mailing address
6202 W FREEDOM HILL WAY, HERRIMAN, UT 84096-6987
(801) 253-6452
(801) 253-5114
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
774
UT
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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