| NPI | 1053367631 |
|---|---|
| Doing Business As | INTERMOUNTAIN LAYTON CLINIC IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | PAUL VANWAGENEN Director Of Operations 801-387-3740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: UT 383) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |