| Organization Name: | BAKORP, L.L.C. |
| NPI Number: | 1023357894 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SOON BURNAM (TREASURER) |
| Mailing Address: | 9571 S 700 E Suite 101 Sandy |
| State: | UT US |
| Postal Code: | 840703481 |
| Phone Number: | 8015030502 |
| Fax Number: | 8015030501 |
| NPI Enumeration Date: | 02/13/2013 |
| NPI Last Update Date: | 09/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |