Unknown Individual – Diagnostic Radiology Physician, NPI 1508863291
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 25488
SALT LAKE CITY, UT 841250488
Phone: (800) 475-3698
Fax: (801) 296-6199
Type: Mailing
1433 N 1075 W STE 104
FARMINGTON, UT 840252746
Phone: (801) 298-1300
Fax: (801) 296-6199
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84125)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | UT | 71250 | CT scan chest | 39 | 39 |
| DIAGNOSTIC RADIOLOGY | UT | 73562 | X-ray of knee, 3 views | 18 | 14 |
| DIAGNOSTIC RADIOLOGY | UT | 73630 | X-ray of foot, minimum of 3 views | 31 | 30 |
| DIAGNOSTIC RADIOLOGY | UT | 74177 | CT scan of abdomen and pelvis with contrast | 223 | 216 |
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