Portable X-Ray of Utah LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

PORTABLE X-RAY OF UTAH LLC

Practice address

2212 S West Temple
Salt Lake City, UT 84115-2642

Phone

(801) 359-2532

Fax

(801) 485-4174

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Abby Grossa

Title

Cfo

Phone

(702) 395-5011

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1992710669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5538 DUNCAN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302812",
            "telephone_number": "702-645-2606",
            "fax_number": "702-645-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 S WEST TEMPLE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152642",
            "telephone_number": "801-359-2532",
            "fax_number": "801-485-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTABLE X-RAY OF UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GROSSA",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "702-395-5011"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80990680000001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY U MEDICAID",
            "identifier": "IDX10887",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "80990680000001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Marie Porretta, M.D
• Janet Lynn Porritt, RN
• Amber Marie Porschatis, LCSW
• Portable Medical Services of Utah LLC
• Portable Ultrasound of Utah LLC
• Adam Porter, MOTR/L
• Adam Seth Porter
• Alexandria Porter
• Jacob Russell Porter, D.O
• James J Porter, PHARMD

• Mobile Radiology Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, 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 Apr 20, 2008; 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.