Genesis Vascular Of Salt Lake, Llc

LBN: Genesis Vascular Of Salt Lake
Genesis Vascular Of Salt Lake, Llc is an health care organization with primary practice located at 6321 S Redwood Rd Suite 102, Salt Lake City UT 84123-6798. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Interventional Cardiology is the primary health care specialty. Genesis Vascular Of Salt Lake can be contacted via phone (385) 388-8003, or through Munford, Dennis via phone (385) 388-8003.

Contact Information

Primary practice address
6321 S Redwood Rd Suite 102 Salt Lake City UT 84123-6798
Phone: (385) 388-8003
Fax: (385) 344-4006
Website:
Map and Directions
Authorized official contact:
Name: Munford, Dennis
Phone: (385) 388-8003

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1104361591
LBN Legal business name Genesis Vascular Of Salt Lake
DBA Doing business as Genesis Vascular Of Salt Lake, Llc
Authorized official Munford, Dennis
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 21st, 2016
Last updated Oct 7th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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