NPIMap

Organization Active NPI

SLC Diagnostic Imaging

  • Medical Specialty Clinic/Center
  • Herriman, UT
National Provider Identifier
1255769386
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
774 Issued in UT
Legal business name
SLC DIAGNOSTIC IMAGING
Practice address
6202 W Freedom Hill Way
Herriman, UT 84096-6987
Phone
(801) 253-6452
Fax
(801) 253-5114
NPI assigned
Oct 29, 2013
Last updated
Oct 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Mrs. Valerie Lucking, RDCSNPI 1528211984
Title
Owner/Operator
Phone
(801) 253-6452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 774 UT Primary

Addresses

Primary practice location

6202 W Freedom Hill Way
Herriman, UT 84096-6987

Mailing address

6202 W Freedom Hill Way
Herriman, UT 84096-6987
Phone (801) 253-6452

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1255769386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 W FREEDOM HILL WAY",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840966987",
            "telephone_number": "801-253-6452",
            "fax_number": "801-253-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 W FREEDOM HILL WAY",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840966987",
            "telephone_number": "801-253-6452",
            "fax_number": "801-253-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLC DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "LUCKING",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "801-253-6452",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDCS"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "UT",
            "license": "774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herriman, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.