Active NPI
RGL Medical Services LLC
- Diagnostic Ultrasound Physician
- West Jordan, UT
National Provider Identifier
1609042837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 116092-5401
- Legal business name
- RGL MEDICAL SERVICES LLC
- Doing business as
- RGL Mobile Ultrasound
- Practice address
- 1561 W 7000 S
Suite 100
West Jordan, UT 84084-3556 - Phone
- (801) 568-9895
- Fax
- (801) 352-0400
- NPI assigned
- May 7, 2008
- 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
- Robert Gordon Leo, RT
- Title
- Owner
- Phone
- (801) 568-9895
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | 116092-5401 | UT | Primary |
Addresses
Primary practice location
1561 W 7000 S
Suite 100
West Jordan, UT 84084-3556
Mailing address
PO Box 95970
South Jordan, UT 84095-0970
Phone (801) 352-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376568907 | Medicaid | UT |
Other names 1
- RGL Mobile Ultrasound
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210118400000",
"number": "1609042837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95970",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840950970",
"telephone_number": "801-352-9500",
"fax_number": "801-352-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 W 7000 S",
"address_2": "SUITE 100",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840843556",
"telephone_number": "801-568-9895",
"fax_number": "801-352-0400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RGL MEDICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A",
"authorized_official_last_name": "LEO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "GORDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-568-9895",
"authorized_official_credential": "RT"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "UT",
"license": "116092-5401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376568907",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RGL Mobile Ultrasound",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.