Healthcare Provider Details

I. General information

NPI: 1629794193
Provider Name (Legal Business Name): EASTERN UTAH IMAGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 N FAIRGROUNDS ROAD SUITE 2
PRICE UT
84501
US

IV. Provider business mailing address

335 N FAIRGROUNDS RD
PRICE UT
84501-4208
US

V. Phone/Fax

Practice location:
  • Phone: 435-613-7246
  • Fax: 435-613-7247
Mailing address:
  • Phone: 435-613-7246
  • Fax: 435-613-7247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RUSSELL OGDEN BEECHER
Title or Position: OWNER
Credential: DO
Phone: 435-613-7146