Active NPI
Ccu Diagnostics LC
- Cardiovascular Disease Physician
- Salt Lake City, UT
National Provider Identifier
1609829381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 20060479
- Legal business name
- CCU DIAGNOSTICS LC
- Practice address
- 24 S 1100 E
Suite 304
Salt Lake City, UT 84102-1500 - Phone
- (801) 746-4440
- Fax
- (801) 746-4455
- NPI assigned
- May 17, 2006
- Last updated
- Aug 22, 2020
- 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
- Dr. Imran Zubair, M.D.
- Title
- Member
- Phone
- (801) 746-4440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 20060479 | UT | Primary |
Addresses
Primary practice location
24 S 1100 E
Suite 304
Salt Lake City, UT 84102-1500
Mailing address
24 S 1100 E
Suite 304
Salt Lake City, UT 84102-1500
Phone (801) 746-4440
National Provider Directory
National Provider DirectoryLocations
24 S 11th E
Ste 304
Salt Lake Cty, UT 84102
Phone (801) 746-4440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609829381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 S 1100 E",
"address_2": "SUITE 304",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021500",
"telephone_number": "801-746-4440",
"fax_number": "801-746-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 S 1100 E",
"address_2": "SUITE 304",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021500",
"telephone_number": "801-746-4440",
"fax_number": "801-746-4455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CCU DIAGNOSTICS LC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZUBAIR",
"authorized_official_first_name": "IMRAN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "801-746-4440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "UT",
"license": "20060479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.