| NPI | 1205089091 |
|---|---|
| Doing Business As | WEST JORDAN RADIOLOGY |
| Entity Type | Organization |
| Authorized Contact | LINDA C LECKMAN CEO Intermountain Medical Group 801-442-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 2008WJIC) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |