Utah Injury Clinic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

6715760-1202 Issued in UT

Legal business name

UTAH INJURY CLINIC, LLC

Practice address

4700 S 900 E Ste 41G
Salt Lake City, UT 84117-4938

Phone

(801) 747-2886

Fax

(801) 716-3532

NPI assigned

Feb 13, 2009

Last updated

Mar 1, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

PRALINE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Dr. Tom E Grant Jr., DC

Title

Manager

Phone

(801) 747-2886

Specialties & licenses 1

Addresses

Part of

Injury Recovery Specialists

Locations

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1669611661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 S 900 E STE 41G",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174938",
            "telephone_number": "801-376-9596",
            "fax_number": "801-716-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S 900 E STE 41G",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174938",
            "telephone_number": "801-747-2886",
            "fax_number": "801-716-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH INJURY CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRALINE CORPORATION",
        "enumeration_date": "2009-02-13",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-747-2886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "6715760-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utah Healthcare Institute Inc (St. Mark's Family Medicine)
• Utah House
• Utah Imaging Associates
• Utah Independent Living Center, Inc.
• Utah Infertility Resource Center
• Utah Luna Care Physical Therapy LLC
• Utah Medical Specialists PC
• Utah Neuropsychiatric Institute
• Utah Neurorehabilitation, Inc
• Utah Oculoplastic Consultants, P.C.

• Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.