Organization Active NPI

Alpharad Inc

  • Radiologic Technologist
  • Provo, UT
National Provider Identifier
1487836979
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
178394-1205 Issued in UT
Legal business name
ALPHARAD INC
Practice address
3152 N University Ave
Provo, UT 84604-4729
Phone
(801) 437-4895
Fax
(801) 229-1003
NPI assigned
Nov 27, 2007
Last updated
May 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X 178394-1205 UT Primary

Addresses

Primary practice location

3152 N University Ave
Provo, UT 84604-4729

Mailing address

3152 N University Ave
Suite 100
Provo, UT 84604-4729
Phone (801) 437-4895

Other identifiers 1

IdentifierTypeStateIssuer
000096915OtherUTPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050714000953 UT Part B Supplier - Clinic/Group Practice 1254367865 Receives reassigned benefits from 4 practitioners
Practice locations: Provo, UT

National Provider Directory

National Provider Directory

Locations

3152 N University Ave
Ste 120
Provo, UT 84604
Phone (801) 375-2177

Practitioners & affiliated clinicians

Practitioners 4

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": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1487836979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 N UNIVERSITY AVE",
            "address_2": "SUITE 100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044729",
            "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": "3152 N UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044729",
            "telephone_number": "801-437-4895",
            "fax_number": "801-229-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHARAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "801-437-4895",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "UT",
            "license": "178394-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "000096915",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.