University Of Utah Ob Diagnostic Center

LBN: University Of Utah Ob Diagnostic Center
University Of Utah Ob Diagnostic Center is an health care organization with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-0001. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Ultrasound is the primary health care specialty. University Of Utah Ob Diagnostic Center can be contacted via phone (801) 581-2719, or through Peterson, C. Matthew via phone (801) 581-2719.

Contact Information

Primary practice address
50 N Medical Dr Salt Lake City UT 84132-0001
Phone: (801) 581-2719
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, C. Matthew Doctor of Medicine (MD)
Phone: (801) 581-2719

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X

Profile Details

NPI number 1417983776
LBN Legal business name University Of Utah Ob Diagnostic Center
DBA Doing business as
Authorized official Peterson, C. Matthew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Jun 30th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417983776 NPPES
Idaho Other 003054800 IDAHO MEDICAID
Idaho MEDICAID 870410144009 IDAHO MEDICAID
Idaho Other 100503089 IDAHO MEDICAID
Idaho Other 117769900 IDAHO MEDICAID

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