Reveal Ultrasound Studio & Spa LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

REVEAL ULTRASOUND STUDIO & SPA LLC

Practice address

1156 S Bentley Blvd Ste 1
Cedar City, UT 84720-1822

Phone

(435) 708-0142

Fax

(801) 423-1280

NPI assigned

Jun 24, 2022

Organization subpart

No

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

Authorized official

Name

Martha Hodges

Title

Contract Manager

Phone

(801) 423-8057

Specialties & licenses 1

Addresses

Other names 1

• Reveal Ultrasound Studio & Spa LLC Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendell Andrew Gibby, M.D.

  • Diagnostic Radiology Physician
  • Provo, UT
  • NPI 1487090528
  NPD
• Lacee Keele, ARDMS, RT

  • Sonography Radiologic Technologist
  • Cedar City, UT
  • NPI 1467194928
  NPD

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1740912260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 S BENTLEY BLVD STE 1",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847201822",
            "telephone_number": "435-708-0142",
            "fax_number": "801-423-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 S BENTLEY BLVD STE 1",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847201822",
            "telephone_number": "435-708-0142",
            "fax_number": "801-423-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEAL ULTRASOUND STUDIO & SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "801-423-8057"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Business",
            "affiliation": "N",
            "address_1": "1156 S Bentley Blvd Ste 1",
            "city": "Cedar City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847201822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Reveal Ultrasound Studio & Spa LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David Raymond Reich
• Gordon Reid
• Matthew Reiser, PH.D.
• Rescue Me Massage and Body Works, LLC
• Rescue Me Massage and Body Works, LLC
• Amy S Rhodes
• Jordan Wayne Rhodes
• Terence Rhodes, M.D.
• Annmarie Richey
• Gary Riddle

• Health Service Clinic/Center in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Health Service Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.