Organization
US SPORTS MEDICINE, LLC
Active
Other names
RAYUS RADIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAMONA L AHERN (SPECIAL ASSISTANT SECRETARY)
(952) 738-4441
Entity
Organization
Contact information
Practice address
6030 FASHION POINT DR, SOUTH OGDEN, UT 84403-4851
(801) 563-0333
(801) 563-0335
Mailing address
PO BOX 741804, LOS ANGELES, CA 90074-1804
(866) 674-7933
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
04/11/2017
Last updated
08/11/2021
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