Active NPI
US Sports Medicine, LLC
- Diagnostic Radiology Physician
- Layton, UT
National Provider Identifier
1376144758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2295280 | Rayus Radiology - Layton | Certificate of waiver | Dec 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.