Organization Name: | SALT LAKE MRI LLC |
NPI Number: | 1467575043 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TED KYLE (PARTNER) |
Mailing Address: | 10696 S Riverfront Pkwy South Jordan |
State: | UT US |
Postal Code: | 84095 |
Phone Number: | 8012609990 |
Fax Number: | 8012609991 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 50828931205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |