Wasatch Mobile Imaging, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

WASATCH MOBILE IMAGING, LLC

Practice address

2008 W 1950 S
Woods Cross, UT 84087-5034

Phone

(801) 897-5293

NPI assigned

Sep 3, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Kathrina Gran, RN

Title

Manager

Phone

(801) 897-5293

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Marcus Jeremy Cox, MD

  • Cardiovascular Disease Physician
  • Jacksonville Beach, FL
  • NPI 1922298868
  NPD (past)

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1942978861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 W 500 S # 338",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106230",
            "telephone_number": "801-897-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 W 1950 S",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840875034",
            "telephone_number": "801-897-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH MOBILE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "GRAN",
        "authorized_official_first_name": "KATHRINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-897-5293",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vali Division of Wasatch, Inc (Rocky Mountain Hospice)
• Jerome Erwin Vance, M.D.
• Vanessa Alardo Nutrition LLC
• Elihu John Vineiz-Cox, LMT
• Walgreen Co (Walgreens #12452)
• Rachael Webster
• Ryan Matthew Workman, DDS
• Kirtland J. Wray, RPH
• Mikelle Mitzi Wrobel, SSW
• Andrea Zimowski, PHARMD

• Mobile Radiology Clinic/Center in Woods Cross, UT
• Providers in Woods Cross, UT by specialty
• Mobile Radiology Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.