Active NPI
Alpharad Inc
- Radiologic Technologist
- Provo, UT
National Provider Identifier
1487836979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 178394-1205
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000096915 | Other | UT | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Vascular & Interventional Radiology Physician
- Provo, UT
- NPI 1750624979
-
- Diagnostic Radiology Physician
- Provo, UT
- NPI 1487090528
-
- Diagnostic Radiology Physician
- Provo, UT
- NPI 1992802235
-
- Neuroradiology Physician
- Provo, UT
- NPI 1083174056
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.