Interventional Medical Center

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

INTERVENTIONAL MEDICAL CENTER

Doing business as

Interventional Medical Center

Practice address

1972 W 5400 S
Taylorsville, UT 84129-1459

Phone

(801) 998-8256

Fax

(801) 849-0340

NPI assigned

Oct 4, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Jennie N Nguyen

Title

Manager

Phone

(801) 679-3488

Specialties & licenses 1

Addresses

Other names 1

• INTERVENTIONAL MEDICAL CENTER Doing business as

Locations

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1558871590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 W WINCHESTER ST STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075609",
            "telephone_number": "801-998-8256",
            "fax_number": "801-849-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1972 W 5400 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841291459",
            "telephone_number": "801-998-8256",
            "fax_number": "801-849-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-679-3488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERVENTIONAL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Peer Specialist in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Peer Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.