Open Imaging-Layton, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

OPEN IMAGING-LAYTON, LLC

Practice address

2071 N Main St Ste 100
Layton, UT 84041-4970

Phone

(801) 825-4040

Fax

(801) 825-4039

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Albert C. Van Kirk

Title

President and Ceo

Phone

(330) 653-3968

Specialties & licenses 1

Addresses

Other names 2

• Open Imaging Layton Doing business as
• RAYUS RADIOLOGY Doing business as

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1174526107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641825",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452641825",
            "telephone_number": "888-674-7933",
            "fax_number": "952-513-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 N MAIN ST STE 100",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414970",
            "telephone_number": "801-825-4040",
            "fax_number": "801-825-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN IMAGING-LAYTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "VAN KIRK",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "330-653-3968"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Imaging Layton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RAYUS RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physiological Laboratory in Layton, UT
• Providers in Layton, UT by specialty
• Physiological Laboratory in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.