| Organization Name: | PARK CITY IMAGING, INC. |
| NPI Number: | 1205024593 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN C. OLSON (MEDICAL DIRECTOR) |
| Mailing Address: | 1850 Sidewinder Dr #410 Park City |
| State: | UT US |
| Postal Code: | 840607471 |
| Phone Number: | 4356150250 |
| Fax Number: | 4356150252 |
| NPI Enumeration Date: | 10/11/2007 |
| NPI Last Update Date: | 10/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |