Active NPI
At Home Imaging LLC
- Mobile Radiology Clinic/Center
- Sandy, UT
National Provider Identifier
1760148050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- AT HOME IMAGING LLC
- Practice address
- 9696 S Raintree Dr
Sandy, UT 84092-3262 - Phone
- (801) 856-7960
- NPI assigned
- Nov 11, 2021
- Last updated
- Nov 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Franklin Taylor
- Title
- Owner
- Phone
- (801) 856-7960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
9696 S Raintree Dr
Sandy, UT 84092-3262
Mailing address
9696 S Raintree Dr
Sandy, UT 84092-3262
Phone (801) 856-7960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220107000264 | UT | Part B Supplier - Portable X-Ray Supplier | 1759772429 | Practice locations: Sandy, UT |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1760148050. Details of each certification follow.
Portable X-ray supplier certification: CCN 46X0009812
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- AT HOME IMAGING LLC
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Mar 16, 2022
- Last certification
- Mar 16, 2022
- Ownership / control type
- Partnership
- Facility address
- 9696 South Raintree Drive
Sandy, UT 84092
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636588800000",
"number": "1760148050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9696 S RAINTREE DR",
"city": "SANDY",
"state": "UT",
"postal_code": "840923262",
"telephone_number": "801-856-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9696 S RAINTREE DR",
"city": "SANDY",
"state": "UT",
"postal_code": "840923262",
"telephone_number": "801-856-7960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT HOME IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-11",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "FRANKLIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-856-7960"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.