Organization Active NPI

Lakeview Professional Billing

Doing business as Hospital Corporation of Utah

  • Pulmonary Function Technologist
  • Bountiful, UT
National Provider Identifier
1437209186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Function TechnologistTaxonomy code 225B00000X
License
167432-1205 Issued in UT
Legal business name
LAKEVIEW PROFESSIONAL BILLING
Doing business as
Hospital Corporation of Utah
Practice address
630 Medical Dr
Bountiful, UT 84010-4908
Phone
(801) 299-7802
Fax
(801) 299-7803
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tennilel Michaelis
Title
Biller
Phone
(801) 299-7802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Function Technologist 225B00000X 167432-1205 UT Primary

Addresses

Primary practice location

630 Medical Dr
Bountiful, UT 84010-4908

Mailing address

PO Box 639
Bountiful, UT 84011-0639
Phone (801) 299-7802

Other identifiers 1

IdentifierTypeStateIssuer
529660595001MedicaidUT

Other names 1

  • Hospital Corporation of Utah Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hospital Corporation of Utah2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437209186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840110639",
            "telephone_number": "801-299-7802",
            "fax_number": "801-299-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MEDICAL DR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104908",
            "telephone_number": "801-299-7802",
            "fax_number": "801-299-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW PROFESSIONAL BILLING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICHAELIS",
        "authorized_official_first_name": "TENNILEL",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "801-299-7802"
    },
    "taxonomies": [
        {
            "code": "225B00000X",
            "taxonomy_group": "",
            "desc": "Pulmonary Function Technologist",
            "state": "UT",
            "license": "167432-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529660595001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospital Corporation of Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.