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
- 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 |
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.