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NPI Code Detail

MEDICARE: UTAH IMAGING ASSOCIATES INC

MEDICARE: UTAH IMAGING ASSOCIATES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianUT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629076229
Entity Type Code : Organization
Provider Name (Legal Business Name) : UTAH IMAGING ASSOCIATES INC
Provider Business Mailing Address
First Line : PO BOX 25488
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84125-0488
Country : US
Telephone Number : 801-298-1300
Fax Number : 801-296-1699
Provider Business Practice Location Address
First Line : 1433 N 1075 W STE 104
Second Line :
City : FARMINGTON
State : UT
Zip : 84025-2746
Country : US
Telephone Number : 801-298-1300
Fax Number :
Authorized Official
Title or Position : CEO
Name : HEATHER MCFADDEN
Credential :
Telephone Number : 801-298-1300
Provider Enumeration Date : 07/08/2005
Last Update Date : 07/21/2022

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1164421798 — DR. JASON ANTHONY KIRKHAM M.D.
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Directions to “UTAH IMAGING ASSOCIATES INC ” Practice Location

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