Active NPI
Mountain Valley Imaging of Utah
Doing business as Park City Imaging
- Diagnostic Neuroimaging (Radiology) Physician
- Park City, UT
National Provider Identifier
1114140027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Neuroimaging (Radiology) Physician
- License
- 170278-1205
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Neuroimaging (Radiology) Physician | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Ogden, UT
- NPI 1144289521
-
- Diagnostic Radiology Physician
- Heber City, UT
- NPI 1689625097
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
- Miles P Mottonen
- Mountain Family Health
- Mountain Moments
- Mountain Pediatric Psychology Inc
- Mountain Valley Eye Institute PC
- Mountain View Medical Supplies
- Mountain View Oxygen and Medical, LLC
- Mountain West Anesthesia LLC
- Mountaintop Physical Therapy & Wellness Center, Inc. (MountainTop Physical Therapy)
- Serena Mueller, CCC-SLP
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.