NPIMap

Organization Active NPI

Utah Valley Obstetrical Ultra Sound

  • Sonography Radiologic Technologist
  • Provo, UT
National Provider Identifier
1336318666
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
76101 Issued in UT
Legal business name
UTAH VALLEY OBSTETRICAL ULTRA SOUND
Practice address
1055 N 300 W Ste 303
Provo, UT 84604-3373
Phone
(801) 357-7377
Fax
(801) 765-8805
NPI assigned
Feb 20, 2008
Last updated
Jan 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Mrs. Jodie Layton, RDMS
Title
Owner/Ultrasonographer
Phone
(801) 357-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 76101 UT Primary

Addresses

Primary practice location

1055 N 300 W Ste 303
Provo, UT 84604-3373

Mailing address

PO Box 971388
Orem, UT 84097-1388
Phone (801) 225-5407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120410000214 UT Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5395906879 Practice locations: Provo, UT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1336318666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971388",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840971388",
            "telephone_number": "801-225-5407",
            "fax_number": "801-225-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 303",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043373",
            "telephone_number": "801-357-7377",
            "fax_number": "801-765-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH VALLEY OBSTETRICAL ULTRA SOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "LAYTON",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "OWNER/ULTRASONOGRAPHER",
        "authorized_official_telephone_number": "801-357-7377",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "UT",
            "license": "76101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.