Organization
WASATCH MOBILE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRINA GRAN RN (MANAGER)
(801) 897-5293
Entity
Organization
Contact information
Practice address
2008 W 1950 S, WOODS CROSS, UT 84087-5034
(801) 897-5293
Mailing address
90 W 500 S # 338, BOUNTIFUL, UT 84010-6230
(801) 897-5293
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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