Portable X-Ray of Utah LLC
NPI #1992710669 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1992710669
- Entity Type
- Organization
- Organization Name
- Portable X-Ray of Utah LLC
- Primary Specialty
- Clinic/Center - Radiology, Mobile
- Enumeration Date
- Jul 30, 2006
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 2212 S WEST TEMPLE
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84115-2642
- Phone
- (801) 359-2532
Authorized Official
- Name
- ABBY GROSSA
- Title
- CFO
- Phone
- (702) 395-5011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology, Mobile — Radiology, Mobile |
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