NPIMap

Organization Active NPI

Tooele Valley Imaging, LLC

Doing business as First Choice Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Tooele, UT
National Provider Identifier
1699004499
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
TOOELE VALLEY IMAGING, LLC
Doing business as
First Choice Imaging
Practice address
2356 N 400 E
Suite 103
Tooele, UT 84074-3409
Phone
(435) 882-1674
Fax
(435) 882-1822
NPI assigned
Dec 8, 2009
Last updated
Feb 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Mr. David M Carter
Title
Managing Member
Phone
(435) 882-1674

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X UT
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X UT Primary
Radiology Clinic/Center 261QR0200X UT

Addresses

Primary practice location

2356 N 400 E
Suite 103
Tooele, UT 84074-3409

Mailing address

PO Box 30015
Dept 73
Salt Lake City, UT 84130-0015
Phone (435) 882-1674

Other names 1

  • First Choice Imaging Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111012000146 UT Part B Supplier - Clinic/Group Practice 2466624630 Receives reassigned benefits from 38 practitioners
Practice locations: Logan, UT; St George, UT; Tooele, UT

National Provider Directory

National Provider Directory

Locations

2310 N 400 E
Ste F
Logan, UT 84341
Phone (435) 258-9598

2891 E Mall Dr
Ste 104
St George, UT 84790
Phone (435) 275-6210

2356 N 400 E
Ste 103
Tooele, UT 84074
Phone (435) 882-1674

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1699004499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30015",
            "address_2": "DEPT 73",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300015",
            "telephone_number": "435-882-1674",
            "fax_number": "435-882-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 N 400 E",
            "address_2": "SUITE 103",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743409",
            "telephone_number": "435-882-1674",
            "fax_number": "435-882-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOELE VALLEY IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "435-882-1674",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "UT",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "UT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.