Active NPI
Marisela Martinez
- Sonography Radiologic Technologist
- Farmington, UT
National Provider Identifier
1639804024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- Practice address
- 240 N East Promontory Ste 200
Farmington, UT 84025-2950 - Phone
- (562) 760-9801
- NPI assigned
- Jul 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | Primary |
Addresses
Primary practice location
240 N East Promontory Ste 200
Farmington, UT 84025-2950
Mailing address
1190 E 5425 S Ste 205
South Ogden, UT 84403-5193
Phone (562) 760-9801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At First Sight Mobile Ultrasound | Current | Accepting new patients |
Locations
240 N East Promontory
Ste 200
Farmington, UT 84025
Phone (801) 218-3500
1190 E 5425 S
Ste 205
South Ogden, UT 84403
Phone (562) 760-9801
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physiological Laboratory
- Farmington, UT
- NPI 1457087371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1639804024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 E 5425 S STE 205",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844035193",
"telephone_number": "562-760-9801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 N EAST PROMONTORY STE 200",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840252950",
"telephone_number": "562-760-9801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MARISELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2022-08-01",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.