| Organization Name: | SOUTHERN UTAH MRI, INC. |
| NPI Number: | 1043388861 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDY G. DELCORE (PRESIDENT/OWNER) |
| Mailing Address: | 1335 N. Northfield Rd. #100 Cedar City |
| State: | UT US |
| Postal Code: | 84721 |
| Phone Number: | 4358659293 |
| Fax Number: | 4358679848 |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 05/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |