Organization
UTAH IMAGING CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT PALMER (CEO)
(801) 298-1300
Entity
Organization
Contact information
Practice address
3715 W 4100 S, STE 150, WEST VALLEY CITY, UT 84120-5552
(801) 924-0029
Mailing address
PO BOX 1288, BOUNTIFUL, UT 84011-1288
(801) 296-2413
(801) 296-1715
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
T1325
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8071213
—
ID
Enumeration date
07/07/2005
Last updated
03/25/2010
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