Active NPI
Advanced Mobile Diagnostics, LLC
- Vascular Specialist/Technologist Cardiovascular
- South Jordan, UT
National Provider Identifier
1366851271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Specialist/Technologist Cardiovascular
- 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, 2014
- 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
- David Hague
- Title
- Registered Agent
- Phone
- (801) 558-2822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Mitchel Phil Acton, CSW
- Tiffany Cecilia Adames, FNP-BC
- Amber Heather Adams, CPM, LDEM
- Daniel Justin Adams
- Zachary Eaton Adams, PA-S
- Advanced Spine and Wellness Center LLC
- After Hours Medical LLC, Dba Medallus Medical (After Hours Medical-South Jordan Clinic)
- Lisette Aguirre
- Safiya Ahmed
- Aim High Speech Therapy LLC
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.