Organization Active NPI

Blue Rock Properties LLC

  • Radiologic Technologist
  • Salt Lake City, UT
National Provider Identifier
1467606137
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
20022355 Issued in UT
Legal business name
BLUE ROCK PROPERTIES LLC
Practice address
130 S 400 W
Salt Lake City, UT 84101-1145
Phone
(801) 456-7226
NPI assigned
Nov 7, 2008
Last updated
Mar 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Authorized official

Name
Martha Hodges
Title
Billing Manager
Phone
(801) 437-4895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 247100000X 20022355 UT Primary

Addresses

Primary practice location

130 S 400 W
Salt Lake City, UT 84101-1145

Mailing address

280 River Park Dr
100
Provo, UT 84604-5764
Phone (801) 437-4895

National Provider Directory

National Provider Directory

Locations

130 S 400 W
Salt Lake Cty, UT 84101
Phone (801) 456-7226

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1467606137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 RIVER PARK DR",
            "address_2": "100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045764",
            "telephone_number": "801-437-4895",
            "fax_number": "801-229-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S 400 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011145",
            "telephone_number": "801-456-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ROCK PROPERTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "801-437-4895"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": "UT",
            "license": "20022355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.