Intermountain Vien Center-Draper

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTERMOUNTAIN VIEN CENTER-DRAPER

Practice address

11616 S State St Ste 1501
Draper, UT 84020-7125

Phone

(801) 495-2100

Fax

(801) 572-0925

NPI assigned

Mar 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

L. James Jensen Jr.

Title

Coo

Phone

(801) 225-6246

Specialties & licenses 1

Addresses

Other names 1

• Utah Valley Radiology Assoc. Inc. Other name

Tax ID family

Intermountain Vein Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Intermountain Vein Center

  • Specialist
  • Provo, UT
  • NPI 1104959758
  NPD tax ID

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972628741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 E 930 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585001",
            "telephone_number": "801-225-6246",
            "fax_number": "801-225-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11616 S STATE ST STE 1501",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207125",
            "telephone_number": "801-495-2100",
            "fax_number": "801-572-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN VIEN CENTER-DRAPER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "L.",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "801-225-6246",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Valley Radiology Assoc. Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intermountain Allergy & Immunology Clinic (Intermountain Allergy & Asthma)
• Eleni Iongi
• Ips of Utah LLC
• Kristen Ipson, M.S., CCC-SLP
• Bobbi Jo Irey
• Iron Phoenix Psychiatry, LLC

• Specialist in Draper, UT
• Providers in Draper, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.