Healthcare Provider Details

I. General information

NPI: 1245158096
Provider Name (Legal Business Name): FLEXSCAN ULTRASOUND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3616 W CANYON FALLS DR
LEHI UT
84048-7086
US

IV. Provider business mailing address

3616 W CANYON FALLS DR
LEHI UT
84048-7086
US

V. Phone/Fax

Practice location:
  • Phone: 385-203-8833
  • Fax: 801-906-7472
Mailing address:
  • Phone: 385-203-8833
  • Fax: 801-906-7472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICCOLE HODGES
Title or Position: CO-FOUNDER
Credential:
Phone: 385-203-8833