Organization Active NPI

US Sports Medicine, LLC

  • Diagnostic Radiology Physician
  • Layton, UT
National Provider Identifier
1376144758
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
US SPORTS MEDICINE, LLC
Practice address
729 King St Ste 100
Layton, UT 84041-4681
Phone
(801) 563-0333
Fax
(801) 563-0335
NPI assigned
Nov 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Ms. Ramona L Ahern
Title
Special Assistant Secretary
Phone
(952) 738-4441

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary
Radiology Clinic/Center 261QR0200X

Addresses

Primary practice location

729 King St Ste 100
Layton, UT 84041-4681

Mailing address

PO Box 741804
Los Angeles, CA 90074-1804
Phone (866) 674-7933

Other names 1

  • RAYUS RADIOLOGY Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2295280Rayus Radiology - Layton729 King St #100, Layton, UT 84041Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory

Locations

1982 W Pleasant Grove Blvd
Ste L
Pleasant Grv, UT 84062
Phone (801) 563-0333

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1376144758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741804",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900741804",
            "telephone_number": "866-674-7933",
            "fax_number": "952-513-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 KING ST STE 100",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414681",
            "telephone_number": "801-563-0333",
            "fax_number": "801-563-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "AHERN",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SPECIAL ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "952-738-4441",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAYUS RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.