Utah Lung Center, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

180183-1205 Issued in UT

Legal business name

UTAH LUNG CENTER, LLC

Practice address

3584 W 9000 S
West Jordan, UT 84088

Phone

(801) 562-5864

Fax

(801) 568-0202

NPI assigned

May 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Imad S Farrukh, MDNPI 1851498273

Title

President

Phone

(801) 562-5864

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Imad S Farrukh, MD

  • Pulmonary Disease Physician
  • West Jordan, UT
  • NPI 1851498273
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093923591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150173",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84415",
            "telephone_number": "801-479-0601",
            "fax_number": "801-479-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84088",
            "telephone_number": "801-562-5864",
            "fax_number": "801-568-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH LUNG CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FARRUKH",
        "authorized_official_first_name": "IMAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-562-5864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "180183-1205",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "UT",
            "license": "180183-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utah Homecare LLC
• Utah Imaging Associates
• Utah Intermountain Anestesia
• Utah Intermountain Pain Management
• Utah Intermountain Surgical Center LLC
• Utah Outpatient Pulmonary Rehab, LLC
• Utah Pain Relief North LLC
• Utah Partners for Health
• Utah Partners for Health
• Utah Podiatric Physicians and Surgeons Group LLC

• Internal Medicine Physician in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.