Organization
ALPHARAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA LORRAINE HODGES (BILLING MANAGER)
(801) 437-4895
Entity
Organization
Contact information
Practice address
3152 N UNIVERSITY AVE, PROVO, UT 84604-4729
(801) 437-4895
(801) 229-1003
Mailing address
3152 N UNIVERSITY AVE, SUITE 100, PROVO, UT 84604-4729
(801) 437-4895
(801) 229-1003
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
178394-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000096915
PTAN
UT
Enumeration date
11/27/2007
Last updated
05/06/2019
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