Organization
QUALITY MEDICAL IMAGING OF UTAH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER C FASELT (PRESIDENT)
(702) 839-1133
Entity
Organization
Contact information
Practice address
1564 N OVERLAND TRAILS DR, WASHINGTON, UT 84780-2417
(702) 839-1133
(702) 851-1616
Mailing address
2490 PROFESSIONAL CT STE 110, LAS VEGAS, NV 89128-0835
(702) 839-1133
(866) 274-0710
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
63916660161
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104823368
—
UT
Enumeration date
05/28/2008
Last updated
10/25/2021
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