| NPI | 1760197198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L VAWDREY CFO 801-718-1642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-11-20 |