Organization Active NPI

Advanced Mobile Diagnostics, LLC

  • Vascular Specialist/Technologist Cardiovascular
  • South Jordan, UT
National Provider Identifier
1366851271
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X
Legal business name
ADVANCED MOBILE DIAGNOSTICS, LLC
Practice address
10808 S River Front Pkwy Ste 362
South Jordan, UT 84095-6300
Phone
(801) 984-8039
NPI assigned
Aug 5, 2014
Last updated
Aug 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
David Hague
Title
Registered Agent
Phone
(801) 558-2822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Specialist/Technologist Cardiovascular 246XC2903X Primary

Addresses

Primary practice location

10808 S River Front Pkwy Ste 362
South Jordan, UT 84095-6300

Mailing address

10808 S River Front Pkwy Ste 362
South Jordan, UT 84095-6300
Phone (801) 984-8039

National Provider Directory

National Provider Directory

Locations

10808 S River Front Pkwy
Ste 362
South Jordan, UT 84095
Phone (801) 984-8039

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1366851271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 S RIVER FRONT PKWY STE 362",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840956300",
            "telephone_number": "801-984-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 S RIVER FRONT PKWY STE 362",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840956300",
            "telephone_number": "801-984-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MOBILE DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "HAGUE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "801-558-2822"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.