Healthcare Provider Details

I. General information

NPI: 1790875557
Provider Name (Legal Business Name): ULTRASOUND SPECIALISTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3855 W 7800 S SUITE 100
WEST JORDAN UT
84088-5560
US

IV. Provider business mailing address

3855 W 7800 S SUITE 100
WEST JORDAN UT
84088-5560
US

V. Phone/Fax

Practice location:
  • Phone: 801-280-6070
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FARZANA KHAN
Title or Position: PRESIDENT
Credential:
Phone: 801-280-6070