Organization Active NPI

Mountain Valley Imaging of Utah

Doing business as Park City Imaging

  • Diagnostic Neuroimaging (Radiology) Physician
  • Park City, UT
National Provider Identifier
1114140027
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X
License
170278-1205 Issued in UT
Legal business name
MOUNTAIN VALLEY IMAGING OF UTAH
Doing business as
Park City Imaging
Practice address
1850 Sidewinder Dr
#410
Park City, UT 84060-7471
Phone
(435) 615-0250
Fax
(435) 615-0252
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. John C Olson, M.D.
Title
President
Phone
(801) 621-6671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Radiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085D0003X 170278-1205 UT Primary

Addresses

Primary practice location

1850 Sidewinder Dr
#410
Park City, UT 84060-7471

Mailing address

2910 Washington Blvd
Suite 310
Ogden, UT 84401-3751
Phone (801) 621-6671

Other names 1

  • Park City Imaging Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1114140027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 WASHINGTON BLVD",
            "address_2": "SUITE 310",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013751",
            "telephone_number": "801-621-6671",
            "fax_number": "801-627-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SIDEWINDER DR",
            "address_2": "#410",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607471",
            "telephone_number": "435-615-0250",
            "fax_number": "435-615-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VALLEY IMAGING OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-621-6671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "UT",
            "license": "170278-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park City Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.