Organization Active NPI

US Sports Medicine, LLC

Doing business as Rayus Radiology

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
National Provider Identifier
1487296505
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
Doing business as
Rayus Radiology
Practice address
1178 E Brickyard Rd
Salt Lake City, UT 84106-2555
Phone
(801) 563-0333
Fax
(801) 563-0335
NPI assigned
Oct 9, 2019
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: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Radiology Clinic/Center 261QR0200X

Addresses

Primary practice location

1178 E Brickyard Rd
Salt Lake City, UT 84106-2555

Mailing address

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

Other names 1

  • RAYUS RADIOLOGY Doing business as

National Provider Directory

National Provider Directory

Locations

1178 E Brickyard Rd
Salt Lake City, UT 84106
Phone (801) 563-0333

10696 S River Front Pkwy
South Jordan, UT 84095
Phone (801) 563-0333

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1487296505",
    "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": "1178 E BRICKYARD RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062555",
            "telephone_number": "801-563-0333",
            "fax_number": "801-563-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "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": "193200000X MULTI-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 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 Aug 11, 2021; 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.