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:
Authorized official contact:
Name: Peterson, C. Matthew Doctor of Medicine (MD)
Phone: (801) 581-2719
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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