Robert G Leo, RT

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

116092-5401 Issued in UT

Practice address

1561 W 7000 S
Suite 102
West Jordan, UT 84084-3556

Phone

(801) 568-9895

Fax

(801) 352-0400

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RGL Medical LLC Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• RGL Medical Services LLC

  • Radiologic Technologist
  • West Jordan, UT
  • NPI 1497702922
  NPD (past) Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1376568907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 W 7000 S",
            "address_2": "SUITE 102",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843556",
            "telephone_number": "801-568-9895",
            "fax_number": "801-352-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 W 7000 S",
            "address_2": "SUITE 102",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843556",
            "telephone_number": "801-568-9895",
            "fax_number": "801-352-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEO",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "RT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "UT",
            "license": "116092-5401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "841375719001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RGL",
            "last_name": "LLC",
            "middle_name": "MEDICAL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sarah Leggett, DNP
• Addisyn Sue Leister
• Paige Anne Lemaster
• Kristie Ann Lemmon, APRN, FPMH-NP-BC
• Megan Adelle Lems
• Uesa Leotalu
• Leroy Investments Inc
• Molly Leroy, AUD
• Asenaca Torika Lesuma
• Caylen Lewis

• Radiologic Technologist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Radiologic Technologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.