Organization Active NPI

Ccu Diagnostics LC

  • Cardiovascular Disease Physician
  • Salt Lake City, UT
National Provider Identifier
1609829381
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
20060479 Issued in UT
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.