Organization
ACTA HOLDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD CALLAHAN III MD (CHIEF EXECUTIVE OFFICER)
(509) 679-2668
Entity
Organization
Contact information
Practice address
3535 S MARKET ST STE 200, WEST VALLEY CITY, UT 84119-3617
(801) 871-8937
Mailing address
3535 S MARKET ST STE 200, WEST VALLEY CITY, UT 84119-3617
(801) 871-8937
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/06/2022
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