| NPI | 1487836979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA LORRAINE HODGES Billing Manager 801-437-4895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: UT 178394-1205) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2019-05-06 |